The study investigated three research questions: First, do organizational changes improve or reduce hospital survival? Second, do core and peripheral organizational changes affect hospital survival differently? Third, how do simultaneous organizational changes affect hospital survival? These...

Organizational change has become the norm rather than the exception among U.S. hospitals. Downsizing, service diversification, and affiliation with healthcare systems are but a few notable examples. In this paper, we review the rationale and consequences of organizational change in U.S....