{"id":{"repo_id":"cornell","oai_identifier":"oai:ecommons.cornell.edu:1813/56782"},"canonical_url":"https://search.dev.ndltd.org/etd/cornell/oai:ecommons.cornell.edu:1813/56782","repository":{"repo_id":"cornell","name":"Cornell University","base_url":"https://ecommons.cornell.edu/server/oai/request"},"display":{"title":"HOW INSTITUTIONAL CONDITIONS SHAPE THE QUALITY OF WORK PRACTICES: EVIDENCE FROM THREE CARE COORDINATION PROGRAMS IN NEW YORK STATE","abstract":"Commentators have often celebrated care coordination as an encompassing solution capable of reducing costs and increasing quality in US healthcare. It is unclear, however, under which conditions organizations implement high-quality work practices that are essential for achieving improved outcomes in the context of care coordination programs. My paper examines two institutional factors that improve the quality of work practices: occupational community, and regulatory intensity. I argue that the interaction of both factors produces higher quality than either would in isolation. I also demonstrate how in the absence of both factors, a prioritization of cost-effectiveness reduces the quality of work practices. To make my argument I draw on 80 semi-structured interviews, 80 documents, and 15 hours of observation in my study of three care management agencies that focus on serving low-income chronic disease patients in one of the most resource-poor communities in New York State.","abstract_html":"Commentators have often celebrated care coordination as an encompassing solution capable of reducing costs and increasing quality in US healthcare. It is unclear, however, under which conditions organizations implement high-quality work practices that are essential for achieving improved outcomes in the context of care coordination programs. My paper examines two institutional factors that improve the quality of work practices: occupational community, and regulatory intensity. I argue that the interaction of both factors produces higher quality than either would in isolation. I also demonstrate how in the absence of both factors, a prioritization of cost-effectiveness reduces the quality of work practices. To make my argument I draw on 80 semi-structured interviews, 80 documents, and 15 hours of observation in my study of three care management agencies that focus on serving low-income chronic disease patients in one of the most resource-poor communities in New York State.","abstract_has_math":false,"creators":["Krachler, Nikolaus Johannes"],"institution":"Cornell University","degree_name":"M.S., Industrial and Labor Relations","degree_level":"Master of Science","degree_discipline":"Industrial and Labor Relations","degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":["Litwin, Adam Seth"],"year":2017,"date_issued":"2017-08-30","date_published":"2017-08-30","updated_at":"2026-07-24T01:49:02Z","subjects":["Occupational Community","Regulatory Intensity","Work Practices","Social work","Labor relations","Health care management","Care Coordination","Institutional Theory","Management Practices"],"languages":["en_US"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.doi","label":"DOI","values":["https://doi.org/10.7298/X44X55XW"],"render_values":[{"text":"https://doi.org/10.7298/X44X55XW","href":"https://doi.org/10.7298/X44X55XW","code":true}]},{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["ProQuest Submission ID: 10120","ProQuest Publication ID: 10286749"],"render_values":[{"text":"ProQuest Submission ID: 10120","href":null,"code":true},{"text":"ProQuest Publication ID: 10286749","href":null,"code":true}]}]},"links":{"outbound_url":"https://hdl.handle.net/1813/56782","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.committeemember","label":"Committee Member","values":["Litwin, Adam Seth"]},{"key":"dc:creator","label":"Author","values":["Krachler, Nikolaus Johannes"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2018-04-26T14:16:12Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2018-04-26T14:16:12Z"]},{"key":"dc:date.issued","label":"Date","values":["2017-08-30"]},{"key":"dc:type","label":"Dc Type","values":["dissertation or thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Industrial and Labor Relations"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Master of Science"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M.S., Industrial and Labor Relations"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["Cornell University"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Occupational Community","Regulatory Intensity","Work Practices","Social work","Labor relations","Health care management","Care Coordination","Institutional Theory","Management Practices"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_US"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.doi","label":"DOI","values":["https://doi.org/10.7298/X44X55XW"]},{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["ProQuest Submission ID: 10120","ProQuest Publication ID: 10286749"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/1813/56782"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Commentators have often celebrated care coordination as an encompassing solution capable of reducing costs and increasing quality in US healthcare. It is unclear, however, under which conditions organizations implement high-quality work practices that are essential for achieving improved outcomes in the context of care coordination programs. My paper examines two institutional factors that improve the quality of work practices: occupational community, and regulatory intensity. I argue that the interaction of both factors produces higher quality than either would in isolation. I also demonstrate how in the absence of both factors, a prioritization of cost-effectiveness reduces the quality of work practices. To make my argument I draw on 80 semi-structured interviews, 80 documents, and 15 hours of observation in my study of three care management agencies that focus on serving low-income chronic disease patients in one of the most resource-poor communities in New York State."]},{"key":"dc:format.mimetype","label":"Dc Format Mimetype","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["HOW INSTITUTIONAL CONDITIONS SHAPE THE QUALITY OF WORK PRACTICES: EVIDENCE FROM THREE CARE COORDINATION PROGRAMS IN NEW YORK STATE"]}]}],"canonical_facts":{"dc:contributor.committeemember":["Litwin, Adam Seth"],"dc:creator":["Krachler, Nikolaus Johannes"],"dc:date.accessioned":["2018-04-26T14:16:12Z"],"dc:date.available":["2018-04-26T14:16:12Z"],"dc:date.issued":["2017-08-30"],"dc:description.abstract":["Commentators have often celebrated care coordination as an encompassing solution capable of reducing costs and increasing quality in US healthcare. It is unclear, however, under which conditions organizations implement high-quality work practices that are essential for achieving improved outcomes in the context of care coordination programs. My paper examines two institutional factors that improve the quality of work practices: occupational community, and regulatory intensity. I argue that the interaction of both factors produces higher quality than either would in isolation. I also demonstrate how in the absence of both factors, a prioritization of cost-effectiveness reduces the quality of work practices. 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