Effect of hospital conversion on organizational decision making and service coordination.
This study looks into the "black box" of hospital ownership conversion in a "natural experiment." We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. As predicted from complexity theory, MDs and RNs had greater levels of participation and influence over final decision choices in converted hospitals than in nonconverted hospitals.
Anderson
Ruth A
RA
School of Nursing, Duke University, Durham, North Carolina, USA.
Allred
Charlene A
CA
Sloan
Frank A
FA
D003659:Decision Making, Organizational; D006273:Health Facility Merger / Q000458:organization & administration*; D006302:Health Services Research; D006777:Hospitals, Proprietary / Q000458:organization & administration*; D006788:Hospitals, Voluntary / Q000458:organization & administration; D006801:Humans; D009936:Organizational Innovation; D010067:Ownership / Q000458:organization & administration*; D014481:United States