An important feature of health care systems in recent years is the change in the organizational position and relations of public sector hospitals. Health sector reforms have led to increasing heterogeneity in the organizational location and status of public sector hospitals and new organizational fo
Organizational change: decentralization in hospitals
โ 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
No coin nor oath required. For personal study only.
โฆ 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
๐ SIMILAR VOLUMES
The complex ways in which decentralization is practised in the ยฎeld of government health services are examined. Organizationally, decentralization means a choice between different types of public institution, which vary in terms of: the areas over which they have jurisdiction, the functions delegate
It is argued that organizational size and prior organizational performance affect the rate of future organizational change. Relatively smaller organizations have the incentive to change but do not always have sufficient access to resources. Larger organizations have the resources to change but do no