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.
School of Nursing, Duke University, Durham, North Carolina, USA.
Ruth A
RA
Anderson
Charlene A
CA
Allred
Frank A
FA
Sloan
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