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Middle managers' roles after a hospital merger

Permanent lenke
https://hdl.handle.net/10037/17441
DOI
https://doi.org/10.1108/JHOM-09-2018-0269
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Åpne
article.pdf (803.1Kb)
Akseptert manusversjon (PDF)
Dato
2019-12-09
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Solstad, Elsa; Petterson, Inger Johanne
Sammendrag
Purpose - Mergers are important and challenging elements in hospital reforms. The authors study the social aspects of management and the roles of middle managers in the aftermath of a hospital merger. Especially, the purpose of this paper is to investigate how professional staff and middle managers perceive their relationships with top managers several years after the merger.

Design/methodology/approach - A survey was conducted among the professional staff in two merging hospitals’ units six years after a merger. Based on the main findings from this survey, a follow-up interview study was done with a group of middle managers.

Findings - The management practices were diagnostic with few interactive or communicative activities. The respondents expressed that mistrust developed between the staff and the top management, and a lack of involvement and interaction lead to decoupled and parallel organizations. Social controls, based on shared norms, had not been developed to create mutual commitment and engagement.

Practical implications - Policy makers should be aware of the need in profound change processes not only to change the tangible elements, but to take care of changing the less tangible elements such as norms and values. Professionals in hospitals are in powerful positions, and changes in such organizations are dependent on trust-building, bottom-up initiatives and evolutionary pathways.

Originality/value - The paper addresses the need to understand the dynamics of the social aspect in managing hospitals as knowledge-intensive organizations when comprehensive restructuring processes are taking place over several years.

Forlag
Emerald
Sitering
Solstad EA, Pettersen IJ. Middle managers' roles after a hospital merger. Journal of Health Organisation and Management. 2019
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  • Artikler, rapporter og annet (Handelshøgskolen) [635]
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