title: Participation as a complicating mechanism: the effect of clinical professional and middle manager participation on hospital performance.
abstract: One way hospitals complicate themselves is by increasing the participation of clinical professionals and middle managers in making strategic decisions. Using a survey methodology this article investigates the relationships between the participation of clinical professionals (MDs and RNs) and middle managers with hospital costs, as well as the possible moderating effect of strategic complexity.
authors.affiliation: University of Texas at San Antonio, USA.
authors.forename: D P
authors.initials: DP
authors.lastname: Ashmos
authors.forename: J W
authors.initials: JW
authors.lastname: Huonker
authors.forename: R R
authors.initials: RR
authors.lastname: McDaniel
mesh_terms: D003362:Cost-Benefit Analysis / Q000639:trends; D003659:Decision Making, Organizational; D017598:Efficiency, Organizational / Q000191:economics; D005544:Forecasting; D006740:Hospital Administrators; D017721:Hospital Costs / Q000639:trends*; D006801:Humans; D007324:Institutional Management Teams / Q000191:economics*; D008505:Medical Staff, Hospital / Q000191:economics*; D009741:Nursing Staff, Hospital / Q000191:economics*; D014481:United States