Hospital Restructuring:Does It Adversely Affect Care and Outcomes?

Linda H. Aiken, Sean P. Clarke, Douglas M. Sloane

Research output: Contribution to journalArticlepeer-review


The past decade has witnessed pronounced changes in the organization of United States hospitals, many the direct result of restructuring and re-engineering initiatives intended to decrease costs and increase productivity. Little is known about how these initiatives have affected clinical care and patient outcomes. Using data from a variety of sources, the authors describe initiatives that hospitals undertook during this period, discuss how nurse staffing changed relative to the case mix of patients receiving care, and examine changes in nursing practice environments from 1986 to 1998.

Original languageEnglish (US)
Pages (from-to)457-465
Number of pages9
JournalJournal of Nursing Administration
Issue number10
StatePublished - Oct 2000

ASJC Scopus subject areas

  • Leadership and Management


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