Temporal specificity and task alignment: Evidence from patient care

Guy David, Evan Rawley, Daniel E. Polsky

Research output: Contribution to conferencePaper

Abstract

We show how integration solves temporal specificity problems that arise from the misalignment of tasks between organizations, and test the predictions of the model using a large and rich patient-level dataset on hospital discharges to nursing homes and home health care. As predicted by the theory, we find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower cost delivery systems by discharging patients earlier and in poorer health, and leads to greater post-hospitalization service intensity, holding patient outcomes constant across the care continuum. The evidence suggests that by improving the alignment of tasks to assets, integration solves temporal specificity problems that arise in market exchange.

Original languageEnglish (US)
DOIs
StatePublished - Jan 1 2011
Externally publishedYes
Event71st Annual Meeting of the Academy of Management - West Meets East: Enlightening, Balancing, Transcending, AOM 2011 - San Antonio, TX, United States
Duration: Aug 12 2011Aug 16 2011

Other

Other71st Annual Meeting of the Academy of Management - West Meets East: Enlightening, Balancing, Transcending, AOM 2011
CountryUnited States
CitySan Antonio, TX
Period8/12/118/16/11

Keywords

  • Tasks
  • Temporal specificity
  • Vertical integration

ASJC Scopus subject areas

  • Management Information Systems
  • Management of Technology and Innovation
  • Industrial relations

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    David, G., Rawley, E., & Polsky, D. E. (2011). Temporal specificity and task alignment: Evidence from patient care. Paper presented at 71st Annual Meeting of the Academy of Management - West Meets East: Enlightening, Balancing, Transcending, AOM 2011, San Antonio, TX, United States. https://doi.org/10.5464/AMBPP.2011.175.a