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The organizational environments and services of VNAs and hospital‐based home health care agencies
Author(s) -
Burman Mary E.
Publication year - 1992
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.4770150407
Subject(s) - agency (philosophy) , referral , business , accreditation , health care , type of service , nursing , stratified sampling , home health , medicine , family medicine , public relations , service (business) , marketing , political science , medical education , sociology , social science , pathology , law
Abstract Visiting Nurse Associations (VNAs) and hospital‐based home health care agencies (HBHHAs) were used to explore the impact of organizational environments on agency services. Disproportionate stratified random sampling, based on type and region of agency, was used to select the agencies. Seventy‐three percent (120 HBHHAs and 156 VNAs) responded to the mail survey. Differences were found in the environments of the two types of agencies in funding and referral sources, amount of competition, accreditation by external bodies, and involvement in professional organizations. In terms of services, HBHHAs provided more types of high‐tech services and were more likely to use external arrangements to provide services than VNAs. The organizational environment did have an impact on agency services. Medicare funding and referral sources, as environmental factors, had an impact on agency services.