Configurational theory has been a key building block of organizational research. An understanding of how certain configurations evolve over time, especially during discontinuous changes such as economic transition, has been largely a missing link in the literature. Considering economic...

As part of a federal government initiative to increase efficiency and quality, in 1996 the United States' VHA (Veterans Health Administration) radically restructured its organizational design and management processes. This study uses 1992-1998 clinical, workload and financial data to examine the...