TABLE OF CONTENTS

Chapter 1 : The Division of Labor in the Hospital 1

Chapter 2 : Data Collection and Methods 114

Chapter 3 : Variation Across Patient Groups and Within Hospitals 135

Chapter 4 : Managed Care and Market Evolution 149

Chapter 5 : Hospital Characteristics and Market Sensitivity 171

Chapter 6 : Responses to the Market 202

Chapter 7 : Nursing Culture 228

Chapter 8 : Summary and Conclusions 243

Appendix : Survey Instruments 263

Bibliography 292