Adaptation to radical change is central to research in organization theory, and some of the most dramatic examples of environmental change have occurred recently in transition economies such as China. I take advantage of change during China’s economic reform to study the relative importance of organizational and environmental factors in producing innovative managerial response. I find that stra...

in their 2016 article, saltman and duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two european countries. this commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizatio...

Readers may make verbatim copies of this document for noncommercial purposes by any means, provided that the above copyright notice appears on all copies. The research reported in this working paper was supported by funding from the National Science Foundation (award no. DUE-0942438). Any opinions, findings, or conclusions expressed in this paper are those of the authors and do not necessarily ...

Increasing focus on health equity is placing a spotlight professionals' roles. Recent public crises-the opioid epidemic, maternal mortality, and the COVID-19 pandemic-have renewed racial ethnic inequity underscored that trust foundational to professionalism. Organizational, system, policy reform demand professionalism be redefined in terms of its capacity motivate professions education clinical...

Health Information Technology (IT) is an important component of healthcare reform. Health IT holds the promise of improving quality while reducing costs. The broader IT literature frequently recognizes that IT payoffs depend on complementary investments in organization and capital. We build on this literature by evaluating the drivers of hospital surgical management software (HSMS) adoption. HS...

BACKGROUND The concept of organizational culture is important in understanding the behaviour of individuals in organizations as they manage external demands and internal social changes. Cyprus healthcare system is under restructuring and soon a new healthcare scheme will be implemented starting at the Primary Healthcare (PHC) level. The aim of the study was to investigate the underlying culture...

OBJECTIVES Despite the profound structural reform of the health service in Poland, the present organizational system of health care is subject to severe criticism. It is described as unjust and enhancing malpractice as well as migration of young doctors abroad. The commonly expressed disapproval and own observations on the organization and functions of health care are expected to affect future ...

The integrated school library program model advocated by school library professionals and described in government policy and library association position papers is an innovation that has been difficult to implement in North American schools. The model proposes that the primary role of the school library professional is teaching in partnership with classroom teachers. The librarian collaborates ...

Motivation in the work context can be defined as an individual's degree of willingness to exert and maintain an effort towards organizational goals. Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers' willingness to apply themselves to their tasks. Resource availability and worker competence are ...