Models for governing relationships in healthcare organizations: Some empirical evidence
| Autor: | Anna Romiti, Maddalena Grazzini, Mario Del Vecchio |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
National Health Programs
business.industry Delivery of Health Care Integrated 030503 health policy & services Health Policy Corporate governance Interprofessional Relations 05 social sciences Accounting Empirical Research Interviews as Topic 03 medical and health sciences Italy 0502 economics and business Health care Organizational Case Studies Health Facility Merger Humans Business Health Facilities Cooperative Behavior 0305 other medical science Empirical evidence 050203 business & management |
| Zdroj: | Health services management research. 31(2) |
| ISSN: | 1758-1044 |
| Popis: | Recently, most European countries have undergone integration processes through mergers and strategic alliances between healthcare organizations. The present paper examined three cases within the Italian National Health Service in order to determine how different organizations, within differing institutional contexts, govern an healthcare integration process. Furthermore, we explored the possibility that the governance mode, usually seen as alternatives (i.e., merger or alliance), could be considered as a separate step in the development of a more suitable integration process. Multiple case studies were used to compare different integration approaches. Specifically, three cases were considered, of which two were characterized by collaborative processes and the other by a merger. Semi-structured interviews were conducted with managers involved in the processes. Each case presents different governing modes, structures, and mechanisms for achieving integration. The role played by the institutional context also led to different results with unique advantages and disadvantages. Three main conclusions are discussed: (a) Alliances and mergers can be interpreted as different steps in a path leading to a better integration; (b) The alignment between institutional/political time horizon and the time needed for the organizations to achieve an integration process lead to a better integration; (c) Trust plays an important role in integration process operating at different levels that of institutional and organizational level and that built between people. |
| Databáze: | OpenAIRE |
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