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. 2018 Dec 28;26(3):188–197. doi: 10.1093/jamia/ocy162

Table 1.

Multi-organization forms in healthcare

Form Attributes Healthcare examples
Field67
  • A number of organizations interacting to achieve common goals.

  • The arrangement exhibits status hierarchies, networks, and shared values and identity.68

Healthcare in Alberta, Canada69
NHS in England37,62,64
Federation70
  • Multiple semi-autonomous organizations that retain some legal autonomy while cooperating toward system goals and ceding some control to a central management body that provides inter-organizational coordination of activities.

  • Within a complex environment, constituent organizations may be diverse and often dispersed geographically, though linked by physical and virtual networks.

U.S. hospitals71
GP federations in England72
Quasi-firm73
  • A loosely coupled interorganizational arrangement of independent entities but with a shared and significant long-term strategic purpose.

  • These arrangements are often established to manage interdependences resulting from technological innovation.

U.S. Healthcare sector73