Organizational Performance in the Community Mental Health Care System: The Need Fulfillment Perspective
| Autor: | Ramesh K. Shukla, Laura H. Tyler, Yasar A. Ozcan |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Service (business)
Organizational Behavior and Human Resource Management Government education.field_of_study business.industry Strategy and Management Population Public relations Organizational performance Mental health Management of Technology and Innovation Business Organizational theory Organizational effectiveness education Inefficiency |
| Zdroj: | Organization Science. 8:176-191 |
| ISSN: | 1526-5455 1047-7039 |
| Popis: | This paper addresses an important problem in health care management. It explores the theoreti- cal relations among organizational and environmental characteristics and measures of efficiency and effectiveness. The paper develops need fulfillment as a measure of organization effectiveness. An interesting implication for organization theory is the findings that suggest that legitimacy does not enhance efficiency and that legitimacy and efficiency may be entirely independent variables. Arie Y Lewin Abstract authors identify the key organizational and environmen- tal characteristics that influence the effectiveness and effi- ciency of publicly funded service organizations. In a study of 40 community mental health centers (CMHCs), they used fulfillment of community needs as a measure of effectiveness and utilization of various services as a measure of efficiency. The results indicate that client educational status, state facil- ity utilization, minority population, personnel expense, man- agement type, and board composition affect need fulfillment. The study also illuminates the relationship between effi- ciency and effectiveness of publicly funded service organiza- tions. The findings suggest that the allocation of resources to these organizations from local, state, and federal govern- ments tends to be based on the extent of unmet needs for services. That is, the less the publicly funded service organi- zation meets community needs, the more government funds are allocated to meet the needs. If the unmet needs that stimulate higher levels of funding actually reflect inefficiency, the inverse relationship between effectiveness and efficiency suggests that the government's resource allocation may not be based on performance, but may in fact be rewarding inefficiency. The findings suggest that legitimacy does not enhance efficiency and that legitimacy and efficiency may be entirely independent, which is consistent with institutional theory. The study results will be of practical use to commu- nity leaders, taxpayers, consumer advocates, regulatory agen- cies, and managers of community mental health organiza- tions. (Community Mental Health Center; Effectiveness; Effi- ciency; Need Fulfillment; Performance; Utilization) |
| Databáze: | OpenAIRE |
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