Among the studies of groups in the hospital sector,
the first that must be mentioned is that of Zajac and
Shortell [25]. Basing their investigation on the Miles
and Snow [26] strategic typologies, these authors
analyse how strategies change in response to variations in the environment and how these changes in
strategy affect organizational performance. Gilliard
[27], meanwhile, applies the strategic group theory
and the economic model of industrial organization
to support the existence of a link between strategic
groups and their performance level. Likewise, Nath
and Gruca [28], using three alternative models to
identify strategic groups in the same competitive environment, succeed in identifying a group structure
within the environment, and go on to analyse the
significant differences that exist between the performances of the various groups identified
Among the studies of groups in the hospital sector,
the first that must be mentioned is that of Zajac and
Shortell [25]. Basing their investigation on the Miles
and Snow [26] strategic typologies, these authors
analyse how strategies change in response to variations in the environment and how these changes in
strategy affect organizational performance. Gilliard
[27], meanwhile, applies the strategic group theory
and the economic model of industrial organization
to support the existence of a link between strategic
groups and their performance level. Likewise, Nath
and Gruca [28], using three alternative models to
identify strategic groups in the same competitive environment, succeed in identifying a group structure
within the environment, and go on to analyse the
significant differences that exist between the performances of the various groups identified
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