A critical review of recent US market level health care strategy literature

Rebecca Wells, Jane Banaszak-Holl

Research output: Contribution to journalReview ArticleResearchpeer-review

12 Citations (Scopus)


In this review, we argue that it would be profitable if the neoclassical economic theories that have dominated recent US market level health care strategy research could be complemented by greater use of sociological frameworks. Sociological theory can address three central questions that neoclassical economic theories have tended to slight: (1) how decision-makers' preferences are determined; (2) who the decision-makers are; and (3) how decision-makers' plans are translated into organizational action. We suggest five sociological frameworks that would enable researchers to address these issues better relative to market level strategy in health care. The frameworks are (1) institutional theory, (2) organizational ecology, (3) social movements, (4) social networks, and (5) internal organizational change. A recent global trend toward privatization of health care provision makes US market level strategy research increasingly applicable to non-US readers. Copyright (C) 2000 Elsevier Science Ltd.

Original languageEnglish
Pages (from-to)639-656
Number of pages18
JournalSocial Science & Medicine
Issue number5
Publication statusPublished - 1 Sept 2000


  • Health markets
  • Health system
  • Strategy
  • US

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