Search results

This paper's aim is to identify existing and developing new concepts of organization, management, and leadership at a large European university hospital; and to evaluate whether mixed qualitative‐quantitative methods with both internal and external input can provide helpful views of the possible future of large health care providers.

Using the Delphi method in semi‐structured, semi‐quantitative interviews, with managers and employees as experts, the authors performed a vertical and a horizontal internal analysis. In addition, input from innovative faculties in other countries was obtained through structured power questions. These two sources were used to create three final scenarios, which evaluated using traditional strategic planning methods.

There is found a collaboration scenario in which faculty and hospital are separated; a split scenario which divides the organization into three independent hospitals; and a corporation scenario in which corporate activities are bundled in three separate entities.

In complex mergers of knowledge‐driven organizations, the employees of the own organization (in addition to external consultants) might be tapped as a knowledge resource to successful future business models.

The paper uses a real world consulting case to present a new set of methods for strategic planning in large health care provider organizations.

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.

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.

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.

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.

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.

This paper examines the impact of technological alliance announcements in a nonfavorable environment, using event study methodology that includes robust tests to allow heteroskedasticity across firms and over time. The study is based on Spanish data, and focuses on the fact that Spanish market conditions do not favor firms that are deciding whether to enter a technological alliance. The paper is extended to analyze different features of alliances. Results suggest no stock market reaction on the day of the announcement, and a negative reaction on the days that follow. Our results also show that the stock market exacts no penalty on joint venture alliances, alliances involving public entities, alliances between Spanish firms, or alliances between competitors. The common feature revealed in these subgroups is the pursuit of security, a phenomenon that is consistent with the study environment.

University–industry collaborations are an important driver of innovation that highlights the benefits of collaborative processes across organizational boundaries. However, like in most collaborative processes, many challenges remain when trying to manage the process of knowledge sharing and interaction in university–industry partnerships. In this chapter, the authors specifically investigate how leadership as a managerial dimension facilitates collaboration within university–industry joint laboratories. The authors present an explorative and inductive case study of eight joint laboratories set up by Telecom Italia within five major Italian universities. The results show that the laboratory directors play a crucial role in providing a dynamic and socially active working environment, which is enabled through a process of sensemaking and sensegiving. The authors, moreover, find that this process plays a crucial role by shaping effective communication channels that facilitate knowledge sharing and transfer of information. The authors find that this process ultimately acts as a mediator between charismatic leadership on the individual level and distributed leadership on the collective level.

To explore whether supposedly non-modern patrimonial arrangements ever advance the “modern” economy, this essay examines emergent state institutional practices in North America in relation to the domain of public lands from colonial times to the late nineteenth-century U.S. I deconstruct the Weberian model of patrimonialism into four elements – logic, setting, obligations, and resources – in order to show how state grants of land to individuals and corporations (notably railroad companies) constituted patrimonial practices embedded within modern structures. “Modern state patrimonialism” had its origins in royal patrimonialism. Monopolization of resources – by a state rather than an absolutist ruler – continued to offer the basis for patrimonial practice, but state patrimonial resource distribution became less personalistic and more connected to public goals (financing the state, rewarding state service, settlement of territory, development of a national economy, and construction of a transportation system). Recipients of patrimonial distributions often gained considerable control over disposition of resources that they received. In these patrimonialist practices, economic action was constructed in logics of action that occurred outside of “market” transactions. Future research should analyze patrimonial dynamics during the twentieth and twenty-first centuries, by identifying state monopolizations of scarce and desirable resources (mineral rights; city water systems; electrical systems; telephone systems; radio, television, and other airwave bandwidth; the internet), and analyzing how the distribution of those resources are entailed, controlled, licensed, or otherwise managed. A research program in the study of modern patrimonialism helps build out an institutionalist sociology of the economy.

The idea of implementing supply chain management (SCM) principles for the construction industry was embraced by construction stakeholders to enhance the sector's performance. The analysis from the literature revealed that the implementation of SCM in the construction industry enhances the industry's value in terms of cost-saving, time savings, material management, risk management and others. The construction supply chain (CSC) can be managed using the pull or push system. This chapter also discusses the origin and proliferation of SCM into the construction industry. The chapter revealed that the concept of SCM has passed through five different eras: the creation era, the use of ERP, globalisation stage, specialisation stage and electronic stage. The findings from the literature revealed that we are presently in the fourth industrial revolution (4IR) era. At this stage, the SCM witnesses the adoption of technologies and principles driven by the 4IR. This chapter also revealed that the practice of SCM in the construction industry is centred around integration, collaboration, communication and the structure of the supply chain (SC). The forms and challenges hindering the adoption of these practices were also discussed extensively in this chapter.

Despite significant investments in efforts to broaden participation, the number of women in science, technology, engineering, and mathematics (STEM) fields who leave the academy is disheartening. Some reports suggest half of women STEM faculty will leave tenure track positions within 10 years after hire (Kaminski & Geisler, 2012). For women of color, the data are equally bleak (Ginther & Kahn, 2012) and affirm the need for continuously evolving practices and policies to retain underrepresented faculty in STEM and ensure career satisfaction and success. Unfortunately, current programs for career development and mentoring largely promote rigid conformity to traditional performance expectations, which enable the persistence of narrow departmental norms regarding markers of success. By drawing on person–environment (PE) fit theory, and combining data from our own institution with evidence-based practices from others, the authors have created a faculty development program designed to upend this practice. The objective of this program is to help faculty advance their careers in the academy while staying true to what they value, while simultaneously helping departments reflect on how they can create more inclusive and supportive environments for all faculty. The authors describe the program in detail and provide initial assessments of impact on faculty participants as well as departmental and institutional practice.

Examines problems that have arisen over the past four years in the application of business process re‐engineering (BPR) to “real world” companies. Major problem areas include lack of sufficient preparation, problems associated with implementation, organizational weaknesses, weaknesses inherent in BPR and problems that develop in the aftermath of BPR. Then provides guidelines to minimize the emergence of these problems and improve the potential for success of future re‐engineering efforts.