Industrial rationalization of a cottage industry: multi-institutional hospital systems

The environment facing hospitals, generally supportive until the 1970s, may now be characterized as complex, turbulent, and constrained. In response to such environmental conditions, hospitals have adopted new strategies and structures. The strategies, described as corporate rationalization, have led away from the traditional structure of freestanding, autonomous hospitals and toward the formation of multi-institutional systems. These systems are designed to provide sufficient strength to cope with the environment, to acquire scarce and valued resources, to allow organizational stability, to achieve organizational purpose, to enable growth and/or survival, and to enhance market position. The impact of multi-hospital systems is viewed in two major areas: acquisition, retention, and utilization of economic and human resources, and organizational, political, and social factors.     

C: Reviews and notes bibliographies and works of reference

INTRODUCTORY GUIDE TO MIDDLE EASTERN AND ISLAMIC BIBLIOGRAPHY. (Middle East Libraries Committee Research Guides, 5.) Edited by PAUL AUCHTERLONIE. Oxford, Middle East Libraries Committee, 1990. v, 84pp. £9.50.

SUFI WOMEN. By JAVAD NURBAKHSH. Translated by L. Lewisohn. Rev. ed., London & New York, Khaniqahi‐Nimatullahi Publications, 1990. 263pp. 8 illustrations. £7.95.

WHO'S WHO IN THE ARAB WORLD 1990–1991. Tenth edition, thoroughly revised and completed. München, New York, London, Paris, K.G. Saur, for Publitec Publications, 1990. 927 pp. £180.00

INVENTARIO DE FOLLETOS: SECCIÓN DE ÁFRICA Y MUNDO ÁRABE DE LA BIBLIOTECA NACIONAL, I (CAJAS 7000 A 7021). By JAVIER GÓMEZ LÓPEZ & others. Madrid, Biblioteca Nacional, 1989. 124pp.

BIBLIOGRAFIA DE LA LITERATURA HISPANO‐ARABE. Compiled by MARIA JESUS RUBIERA MATA. Alicante, Universidad de Alicante, 1988. 75pp. Ptas. 566.‐

ESTUDIOS ONOMÁSTICO‐BIOGRÁFICOS DE AL‐ANDALUS, I. Edited by MANUELA MARlN. Madrid, CSIC, Instituto de Filología, Departamento de Estudio Árabes, 1988. 610,[2]pp.

ESTUDIOS ONOMÁSTICO‐BIOGRÁFICOS DE AL‐ANDALUS, II. Edited by MARlA LUISA ÁVILA. Granada, CSIC, Escuela de Estudios Árabes, 1989. 342,[2]pp.

AL‐ADAB AL‐TÜNISI AL‐MU'ASIR. By JEAN FONTAINE. Tunis, al‐Dar al‐Tūnisiyya li‐1‐Nashr, 1989. 191pp. TD3.200.

ENGLISH‐PERSIAN DICTIONARY OF LEGAL AND COMMERCIAL TERMS. Compiled By K.FAHIM, J. HABIBION and F. VITTOR. Leiden, Brill, 1989. 81pp. Hfl 150.

FLORA OF EASTERN SAUDI ARABIA. By JAMES P. MANDAVILLE. London, Kegan Paul International, in association with the National Commission for Wild Life Conservation and Development, Riyadh, 1990. x, 482pp. 200 colour ills. £95.00.     

Reviews

Terry L. Thompson & Richard Sheldon, eds, Soviet Society and Culture: Essays in Honor of Vera S. Dunham. Boulder, CO: Westview Press, 1988, xiii+290 pp., £21.00.

Michael Rywkin, Soviet Society Today. New York: M.E. Sharpe, 1989, xii+243 pp., $35.00 h/b, $12.50 p/b.

David Lane, Soviet Society Under Perestroika, London: Unwin Hyman, 1990, xv+401 pp., £40.00 h/b, £12.95 p/b.

Catherine Merridale, Moscow Politics and the Rise of Stalin: The Communist Party in the Capital, 1925–32. London: Macmillan, 1990, xv+328 pp., £47.50.

Roger Pethybridge, One Step Backwards, Two Steps Forward: Soviet Society and Politics under the New Economic Policy. Oxford: Clarendon Press, 1990, xi+453 pp., £48.00.

Francois Heisbourg, ed., The Strategic Implications of Change in the Soviet Union. London: Macmillan, 1990, vi+227pp., £40.00.

Neil Fodor, The Warsaw Treaty Organisation: a Political and Organizational Analysis. London: Macmillan, 1990, 235 pp., £40.00.

Gerald Segal, The Soviet Union and the Pacific. Boston, MA: Unwin Hyman, 1990, xiii+236 pp., £30.00 h/b, £10.95 p/b.

Philip S. Gillette & Willard C. Frank, Jr, eds, The Sources of Soviet Naval Conduct. Lexington, IN: Lexington Books, 1990, xvii+297 pp., $39.95.

Sylvia Woodby & Alfred B. Evans, Jr, eds, Restructuring Soviet Ideology: Gorbachev's New Thinking. Boulder, CO: Westview Press, 1990, 226 pp., £22.50.

Nikolai N. Petro, ed., Christianity and Russian Culture in Soviet Society. Boulder, CO: Westview Press, 1990, xi+244pp., £17.95 p/b.

David A. Dyker, Yugoslavia: Socialism, Development and Debt. London: Routledge, 1990, xi+201 pp., £30.00.

Agnes Heller & Ferenc Fehér, From Yalta to Glasnost. The Dismantling of Stalin's Empire. Oxford: Basil Blackwell, 1990, viii+288 pp., £35.00.

Elemer Hankiss, East European Alternatives. Oxford: Clarendon Press, 1990, xiv+319 pp., £35.00.

George Blazyca & Ryszard Rapacki, eds, Poland into the 1990s: Economy and Society in Transition. London: Pinter, 1991, x+148 pp., £27.50.

Michael D. Kennedy, Professionals, Power and Solidarity in Poland: A Critical Sociology of Soviet‐Type Society. Cambridge: Cambridge University Press, 1991, xiv+421 pp., £45.00, $59.50.

Graham Smith, ed., The Nationalities Question in the Soviet Union. London: Longman, 1990, x+389 pp., £22.50 h/b, £12.95 p/b.

James Muckle, Portrait of Soviet School under Glasnost. Basingstoke: Macmillan Press, 1990, ix+205 pp., £35.00.

Piers Beirne, ed., Revolution in Law: Contributions to the Development of Soviet Legal Theory, 1917–1938. Armonk, NY: M. E. Sharpe, 1990, xiii+202 pp., $49.95.

Richard M. Connaughton, The Republic of the Ushakovka: Admiral Kolchak and the Allied Intervention in Siberia, 1918–20. London: Routledge, 1990, ix+193 pp., £30.00.

Vitaut Kipel & Zora Kipel, eds, Byelorussian Statehood—Reader and Bibliography. New York: Byelorussian Institute of Arts and Sciences, 1988, 398 pp.