ArticleStrategic Groups and Outcomes in Nursing FacilitiesCastle, Nicholas G. Author Information Nicholas G. Castle, Ph.D., is a Health Policy Analyst, RAND, Pittsburgh, Pennsylvania. E-mail: [email protected] Health Care Management Review 28(3):p 217-227, July 2003. Buy Abstract This article uses the Miles and Snow typology of strategies to examine nursing facilities' strategic responses to their changing environment and whether strategic responses are associated with facilities performance in quality outcomes. The author hypothesizes that prospector nursing facilities will have the highest quality outcomes, followed by defender, analyzer, and reactor facilities. © 2003 Lippincott Williams & Wilkins, Inc.