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Organizational change: decentralization in hospitals

โœ Scribed by I. H. Monrad Aas


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
127 KB
Volume
12
Category
Article
ISSN
0749-6753

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โœฆ Synopsis


Decentralization may be deยฎned as the spread of power from higher to lower levels in a hierarchy. For hospitals, decentralization is an organizational change of especial importance. Decentralization in hospitals may be accomplished through decentralization to departments; more general changes in organizational structure (reduction in the number of hierarchical levels and divisionalization); and, delegation of tasks. A framework for an analysis of decentralization status in hospitals is proposed in four main points: its starting point; the need for change in decentralization status; decentralization solutions; and, the need for review before a decentralization proposal is put into practice. Positive eects of decentralization may be obtained; but, to date, empirical investigations on the impact of decentralization in hospitals are few. (&1997 by John


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