Analysis of integrated healthcare networks' performance: A contingency- strategic management perspective

Blossom Y.J. Lin, Thomas T.H. Wan*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

21 Scopus citations


Few empirical analyses have been done in the organizational researches of integrated healthcare networks (IHNs) or integrated healthcare delivery systems. Using a contingency derived context-process-performance model, this study attempts to explore the relationships among an IHN's strategic direction, structural design, and performance. A cross-sectional analysis of 100 IHNs suggests that certain contextual factors such as market competition and network age and tax status have statistically significant effects on the implementation of an IHN's service differentiation strategy, which addresses coordination and control in the market. An IHN's service differentiation strategy is positively related to its integrated structural design, which is characterized as integration of administration, patient care, and information system across different settings. However, no evidence supports that the development of integrated structural design may benefit an IHN's performance in terms of clinical efficiency and financial viability.

Original languageEnglish
Pages (from-to)467-485
Number of pages19
JournalJournal of Medical Systems
Issue number6
StatePublished - 1999
Externally publishedYes


  • IHN
  • Integration
  • Strategy


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