Using resource dependency theory to measure the environment in health care organizational studies: A systematic review of the literature

Valerie Yeager, Nir Menachemi, Grant T. Savage, Peter M. Ginter, Bisakha P. Sen, Leslie M. Beitsch

Research output: Contribution to journalReview article

23 Citations (Scopus)

Abstract

Background: Studies using the resource dependency theory (RDT) perspective commonly focus on one or more of the following environmental dimensions: munificence, dynamism, and complexity. To date, no one has reviewed the use of this theory in the health care management literature and there exists no consensus on how to operationalize the market environment in health care settings. Purpose: The purpose of this review is to examine and summarize the ways in which RDT has been applied in empirical studies of the external environments of health care organizations. In so doing, we identify gaps in the literature and examine the extent to which previous empirical findings aligned with hypothesized relationships based on RDT. Methodology: We conducted a systematic review of the peer-reviewed literature using a bibliographic search of PubMed andABI/Informdatabases. To identify all health care studies that incorporated theRDT perspective, thewords "healthcare" or "health care" were searched in combination with any of the following words: resource dependency theory, uncertainty perspective, environment, munificence, dynamism, and complexity. We also performed a hand search of the reference lists of all manuscripts identified in the initial search to identify additional articles. Findings: Twenty studies were included in this review. Wide variability existed in the number of variables used to measure the environment, the environmental constructs measured, and the specific variables used to operationalizethe environmental constructs. Of the 198 tests examining the relationship between environmental variables and the outcome of interest, 26.8% resulted in findings that supported the RDT-predicted hypotheses. Practice Implications: The RDT literature is limited to studies of hospitals, nursing homes, andmedical practices. There is little consensus on how to measure or operationalize the environment in these studies. No previous studies have measured the environment for other health care settings such as ambulatory surgery centers, public health departments, or assisted living facilities.

Original languageEnglish (US)
Pages (from-to)50-65
Number of pages16
JournalHealth Care Management Review
Volume39
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Delivery of Health Care
Consensus
Assisted Living Facilities
Peer Review
Manuscripts
Dependency (Psychology)
Organizational studies
Healthcare
Systematic review
Resource dependency theory
Nursing Homes
Ambulatory Surgical Procedures
PubMed
Uncertainty
Public Health
Organizations
Dynamism

Keywords

  • Complexity
  • Dynamism
  • Environment
  • Health care
  • Munificence
  • Resource dependency theory

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Strategy and Management

Cite this

Using resource dependency theory to measure the environment in health care organizational studies : A systematic review of the literature. / Yeager, Valerie; Menachemi, Nir; Savage, Grant T.; Ginter, Peter M.; Sen, Bisakha P.; Beitsch, Leslie M.

In: Health Care Management Review, Vol. 39, No. 1, 01.01.2014, p. 50-65.

Research output: Contribution to journalReview article

@article{a90665dfed624957adf9f515c2a9c628,
title = "Using resource dependency theory to measure the environment in health care organizational studies: A systematic review of the literature",
abstract = "Background: Studies using the resource dependency theory (RDT) perspective commonly focus on one or more of the following environmental dimensions: munificence, dynamism, and complexity. To date, no one has reviewed the use of this theory in the health care management literature and there exists no consensus on how to operationalize the market environment in health care settings. Purpose: The purpose of this review is to examine and summarize the ways in which RDT has been applied in empirical studies of the external environments of health care organizations. In so doing, we identify gaps in the literature and examine the extent to which previous empirical findings aligned with hypothesized relationships based on RDT. Methodology: We conducted a systematic review of the peer-reviewed literature using a bibliographic search of PubMed andABI/Informdatabases. To identify all health care studies that incorporated theRDT perspective, thewords {"}healthcare{"} or {"}health care{"} were searched in combination with any of the following words: resource dependency theory, uncertainty perspective, environment, munificence, dynamism, and complexity. We also performed a hand search of the reference lists of all manuscripts identified in the initial search to identify additional articles. Findings: Twenty studies were included in this review. Wide variability existed in the number of variables used to measure the environment, the environmental constructs measured, and the specific variables used to operationalizethe environmental constructs. Of the 198 tests examining the relationship between environmental variables and the outcome of interest, 26.8{\%} resulted in findings that supported the RDT-predicted hypotheses. Practice Implications: The RDT literature is limited to studies of hospitals, nursing homes, andmedical practices. There is little consensus on how to measure or operationalize the environment in these studies. No previous studies have measured the environment for other health care settings such as ambulatory surgery centers, public health departments, or assisted living facilities.",
keywords = "Complexity, Dynamism, Environment, Health care, Munificence, Resource dependency theory",
author = "Valerie Yeager and Nir Menachemi and Savage, {Grant T.} and Ginter, {Peter M.} and Sen, {Bisakha P.} and Beitsch, {Leslie M.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1097/HMR.0b013e3182826624",
language = "English (US)",
volume = "39",
pages = "50--65",
journal = "Health Care Management Review",
issn = "0361-6274",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Using resource dependency theory to measure the environment in health care organizational studies

T2 - A systematic review of the literature

AU - Yeager, Valerie

AU - Menachemi, Nir

AU - Savage, Grant T.

AU - Ginter, Peter M.

AU - Sen, Bisakha P.

AU - Beitsch, Leslie M.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Studies using the resource dependency theory (RDT) perspective commonly focus on one or more of the following environmental dimensions: munificence, dynamism, and complexity. To date, no one has reviewed the use of this theory in the health care management literature and there exists no consensus on how to operationalize the market environment in health care settings. Purpose: The purpose of this review is to examine and summarize the ways in which RDT has been applied in empirical studies of the external environments of health care organizations. In so doing, we identify gaps in the literature and examine the extent to which previous empirical findings aligned with hypothesized relationships based on RDT. Methodology: We conducted a systematic review of the peer-reviewed literature using a bibliographic search of PubMed andABI/Informdatabases. To identify all health care studies that incorporated theRDT perspective, thewords "healthcare" or "health care" were searched in combination with any of the following words: resource dependency theory, uncertainty perspective, environment, munificence, dynamism, and complexity. We also performed a hand search of the reference lists of all manuscripts identified in the initial search to identify additional articles. Findings: Twenty studies were included in this review. Wide variability existed in the number of variables used to measure the environment, the environmental constructs measured, and the specific variables used to operationalizethe environmental constructs. Of the 198 tests examining the relationship between environmental variables and the outcome of interest, 26.8% resulted in findings that supported the RDT-predicted hypotheses. Practice Implications: The RDT literature is limited to studies of hospitals, nursing homes, andmedical practices. There is little consensus on how to measure or operationalize the environment in these studies. No previous studies have measured the environment for other health care settings such as ambulatory surgery centers, public health departments, or assisted living facilities.

AB - Background: Studies using the resource dependency theory (RDT) perspective commonly focus on one or more of the following environmental dimensions: munificence, dynamism, and complexity. To date, no one has reviewed the use of this theory in the health care management literature and there exists no consensus on how to operationalize the market environment in health care settings. Purpose: The purpose of this review is to examine and summarize the ways in which RDT has been applied in empirical studies of the external environments of health care organizations. In so doing, we identify gaps in the literature and examine the extent to which previous empirical findings aligned with hypothesized relationships based on RDT. Methodology: We conducted a systematic review of the peer-reviewed literature using a bibliographic search of PubMed andABI/Informdatabases. To identify all health care studies that incorporated theRDT perspective, thewords "healthcare" or "health care" were searched in combination with any of the following words: resource dependency theory, uncertainty perspective, environment, munificence, dynamism, and complexity. We also performed a hand search of the reference lists of all manuscripts identified in the initial search to identify additional articles. Findings: Twenty studies were included in this review. Wide variability existed in the number of variables used to measure the environment, the environmental constructs measured, and the specific variables used to operationalizethe environmental constructs. Of the 198 tests examining the relationship between environmental variables and the outcome of interest, 26.8% resulted in findings that supported the RDT-predicted hypotheses. Practice Implications: The RDT literature is limited to studies of hospitals, nursing homes, andmedical practices. There is little consensus on how to measure or operationalize the environment in these studies. No previous studies have measured the environment for other health care settings such as ambulatory surgery centers, public health departments, or assisted living facilities.

KW - Complexity

KW - Dynamism

KW - Environment

KW - Health care

KW - Munificence

KW - Resource dependency theory

UR - http://www.scopus.com/inward/record.url?scp=84890563522&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890563522&partnerID=8YFLogxK

U2 - 10.1097/HMR.0b013e3182826624

DO - 10.1097/HMR.0b013e3182826624

M3 - Review article

C2 - 23358132

AN - SCOPUS:84890563522

VL - 39

SP - 50

EP - 65

JO - Health Care Management Review

JF - Health Care Management Review

SN - 0361-6274

IS - 1

ER -