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Hospital Response Variation to the Demands of Preadmission Certification

Medical College of Virginia, Richmond, Virginia 23298

Jeffrey E. Michelman

College of Business Administration, University of North Florida, Jacksonville, Florida 32216

This paper reports findings from a study of the impact of preadmission certification programs from the perspective of the hospital—a deeply affected party. A series of field studies was undertaken to explore and delineate the range of hospital responses to the challenges posed by this third-party payer man date and to identify factors associated with variation in responses. The evidence presented suggests wide variation in how hospitals chose to share responsibil ity for pre-certification with physicians and patients. The findings are broadly consistent with a proposed model that hospital response is determined by both external and internal considerations, but a larger scale hospital survey is necessary to test the hy potheses that can be derived from this study.

American Journal of Medical Quality, Vol. 6, No. 1, 16-23 (1991)
DOI: 10.1177/0885713x9100600104


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