Organizational constraints as root causes of role conflict
Autor: | Isabelle Auclair, Marie-Hélène Gilbert, Mouna Knani, Pierre-Sébastien Fournier, Julie Dextras-Gauthier, André Côté |
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Rok vydání: | 2019 |
Předmět: |
Value (ethics)
Knowledge management business.industry 030503 health policy & services Health Policy media_common.quotation_subject Affect (psychology) Focus group Role conflict Dual (category theory) 03 medical and health sciences Identification (information) 0302 clinical medicine Originality Role model Business Management and Accounting (miscellaneous) 030212 general & internal medicine 0305 other medical science business Psychology media_common |
Zdroj: | Journal of Health Organization and Management. 33:204-220 |
ISSN: | 1477-7266 |
DOI: | 10.1108/jhom-07-2017-0169 |
Popis: | PurposeThe purpose of this paper is to gain a better understanding of the difficulties encountered in the hybrid roles of physician−managers (P−Ms), examine the impact of organizational constraints on the role conflicts experienced by P−Ms and explore the different ways their two roles are integrated.Design/methodology/approachA qualitative approach was adopted, using six focus groups made up of clinical co-managers, medical directors and P−Ms. In all, 43 different people were interviewed to obtain their perceptions of the day-to-day realities of the role of the P−M. The data collected were subsequently validated.FindingsAlthough the expectations of the different groups involved regarding the role of P−Ms are well understood and shared, there are significant organizational constraints affecting what P−Ms are able to do in their day-to-day activities, and these constraints can result in role conflicts for the people involved. Such constraints also affect the ways P−Ms integrate the two roles. The authors identify three role hybridization profiles.Practical implicationsThe results afford a better understanding of how organizational constraints might be used as levers of organizational change to achieve a better hybridization of the dual roles of P−Ms.Originality/valueThis paper seeks to reach beyond a simple identification of constraints affecting the dual roles of P−Ms by analyzing how such constraints impact on these professionals’ day-to-day activities. Results also enable us to further refine Katz and Kahn’s (1966) role model, in addition to identifying hybridization profiles. |
Databáze: | OpenAIRE |
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