The Influence of Institutional Constraints on Outsourcing

Ramji Balakrishnan · Leslie G. Eldenburg · Ranjani Krishnan · Naomi S. Soderstrom

72 citations0/0 files storedJournal of Accounting Research

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Outsourcing and Supply Chain Management Healthcare Policy and Management Accounting and Organizational Management

Abstract

ABSTRACT Drawing on transaction cost economics and institutional theory we argue that the effects of institutional constraints on the transaction costs of outsourcing vary systematically with the type of service outsourced and the ownership structure of the outsourcing firm. Using data from hospitals, we demonstrate that these effects lead to a higher extent of outsourcing of nonclinical compared to clinical services, and larger outsourcing response of nonclinical services to cost pressures from managed care. Further, the effects of ownership structure and associated governance mechanisms on institutional constraints are reflected in the empirical results as cross‐sectional variations in the extent to which outsourcing is invoked as a response to cost pressures by hospitals of different ownership.

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References

1983The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields 1990Institutions, Institutional Change and Economic Performance 1985Economic Action and Social Structure: The Problem of Embeddedness 1977Institutionalized Organizations: Formal Structure as Myth and Ceremony 2004The iron cage revisited institutional isomorphism and collective rationality in organizational fields 1937The Nature of the Firm 2006The Core Competence of the Corporation 2008Estimating Standard Errors in Finance Panel Data Sets: Comparing Approaches

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