Key points are not available for this paper at this time.
Arnold D. Kaluzny, James E. Veney, John T. Gentry, Innovation of Health Services: A Comparative Study of Hospitals and Health Departments, The Milbank Memorial Fund Quarterly. Health and Society, Vol. 52, No. 1 (Winter, 1974), pp. 51-82
Kaluzny et al. (Tue,) studied this question.