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academic medical center, decision making, organizational change, outsourcing, strategic planning



  1. Billi, John E.
  2. Pai, Chih-Wen
  3. Spahlinger, David A.


Abstract: Many academic medical centers have significant capacity constraints and limited ability to expand services to meet demand. Health care management should employ strategic thinking to deal with service demands. This article uses three organizational models to develop a theoretical framework to guide the selection of clinical services for outsourcing.