Hospital funding constraints: Strategic and tactical decision responses to sustained moderate levels of crisis in six Canadian hospitals
This article reports on a study to ascertain the strategic and tactical responses of policy decision-makers in six Ontario hospitals to moderate levels of 'underfunding' by the provincial government over a 5 year period. The study provides a preliminary test of several theoretical ideas in the current literature on organizational decline. Findings support the hypothesized importance of the decision-makers' subjective interpretation of the causes for cutbacks, and the common initial tendency to 'blame inward' and cut costs through efficiency measures. It also illustrates how prolonged underfunding can bring about a shift in response from one based on techno-economic rationality to political bargaining.
Year of publication: |
1984
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Authors: | Murray, V. V. ; Jick, T. D. ; Bradshaw, P. |
Published in: |
Social Science & Medicine. - Elsevier, ISSN 0277-9536. - Vol. 18.1984, 3, p. 211-219
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Publisher: |
Elsevier |
Saved in:
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