Managing Across Boundaries in Health Care: The Forces for Change and Inertia

Charo Rodríguez, Ann Langley, François Béland and Jean-Louis Denis

Chapter 8 in Managing Boundaries in Organizations: Multiple Perspectives, 2003, pp 147-168 from Palgrave Macmillan

Abstract: Abstract The problem of managing across boundaries is nowhere more urgent or more complex than in the health care field. On the one hand, there is wide recognition that aging populations, economic pressures, and new technologies are stimulating the need for coordination among diverse health care organizations and professionals in order to provide integrated care (Shortell et al. 1996). On the other hand, the professionals that inhabit the health care field are better known and appreciated for developing their individual expertise and autonomy than for their propensity to collaborate (Mintzberg 1979; Denis et al. 1999). The problem is intensified by the ideological differences that separate the high status, high pressure “cure”-oriented world of the acute care hospital and the less prestigious “care”-oriented world of community organizations (Glouberman and Mintzberg 2001b).

Keywords: Governance Mechanism; Power Dependency; Acute Care Hospital; Organizational Space; Governance Mode (search for similar items in EconPapers)
Date: 2003
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Persistent link: https://EconPapers.repec.org/RePEc:pal:palchp:978-0-230-51255-9_9

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DOI: 10.1057/9780230512559_9

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