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J Am Med Inform Assoc 4:112-124 doi:10.1136/jamia.1997.0040112
  • Focus on People and Organization Issues

Information Technology in Complex Health Services

Table 1

Contrast Between Organizational Configurations for Successful OC in US and Unsuccessful Transfer to NSW

US NSW
Business environment Private sector, insurers pay Public sector, public purse pays
Strategic focus Competitive pricing based on costs Cost control
Structure Smaller, loosely linked chains of smaller hospital units Multi-divisional with large hospital units and Areas with related units
Management processes Cost allocation to individual patients' physicians as customers Block funding, contract system for VMOs, rotation of RMOs
Roles Differentiated clerical and clinical Undifferentiated clerical and clinical

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