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HOW INSTITUTIONAL CONDITIONS SHAPE THE QUALITY OF WORK PRACTICES: EVIDENCE FROM THREE CARE COORDINATION PROGRAMS IN NEW YORK STATE

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dc.contributor.authorKrachler, Nikolaus Johannes
dc.contributor.chairBatt, Rosemary
dc.contributor.committeeMemberLitwin, Adam Seth
dc.date.accessioned2018-04-26T14:16:12Z
dc.date.available2018-04-26T14:16:12Z
dc.date.issued2017-08-30
dc.description.abstractCommentators have often celebrated care coordination as an encompassing solution capable of reducing costs and increasing quality in US healthcare. It is unclear, however, under which conditions organizations implement high-quality work practices that are essential for achieving improved outcomes in the context of care coordination programs. My paper examines two institutional factors that improve the quality of work practices: occupational community, and regulatory intensity. I argue that the interaction of both factors produces higher quality than either would in isolation. I also demonstrate how in the absence of both factors, a prioritization of cost-effectiveness reduces the quality of work practices. To make my argument I draw on 80 semi-structured interviews, 80 documents, and 15 hours of observation in my study of three care management agencies that focus on serving low-income chronic disease patients in one of the most resource-poor communities in New York State.
dc.identifier.doihttps://doi.org/10.7298/X44X55XW
dc.identifier.otherKrachler_cornell_0058O_10120
dc.identifier.otherhttp://dissertations.umi.com/cornell:10120
dc.identifier.otherbibid: 10361459
dc.identifier.urihttps://hdl.handle.net/1813/56782
dc.language.isoen_US
dc.subjectOccupational Community
dc.subjectRegulatory Intensity
dc.subjectWork Practices
dc.subjectSocial work
dc.subjectLabor relations
dc.subjectHealth care management
dc.subjectCare Coordination
dc.subjectInstitutional Theory
dc.subjectManagement Practices
dc.titleHOW INSTITUTIONAL CONDITIONS SHAPE THE QUALITY OF WORK PRACTICES: EVIDENCE FROM THREE CARE COORDINATION PROGRAMS IN NEW YORK STATE
dc.typedissertation or thesis
dcterms.licensehttps://hdl.handle.net/1813/59810
thesis.degree.disciplineIndustrial and Labor Relations
thesis.degree.grantorCornell University
thesis.degree.levelMaster of Science
thesis.degree.nameM.S., Industrial and Labor Relations

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