If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?”
Waitzberg and colleagues identified strategies that managers and physicians in hospitals apply to reconcile dilemmas between clinical and economic considerations. Contributions that actually acknowledge the institutional complexity of hospitals and describe how to deal with it are rare. This comment...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-10-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_4228_af960a686b743756d9c85a2210940aac.pdf |
| _version_ | 1811158756747116544 |
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| author | Thomas Andersson |
| author_facet | Thomas Andersson |
| author_sort | Thomas Andersson |
| collection | DOAJ |
| description | Waitzberg and colleagues identified strategies that managers and physicians in hospitals apply to reconcile dilemmas between clinical and economic considerations. Contributions that actually acknowledge the institutional complexity of hospitals and describe how to deal with it are rare. This comment explains the reason behind the institutional complexity in healthcare organizations and argues that institutional complexity is a good foundation for a wellfunctioning and sustainable healthcare, as long as we are able to deal with this complexity. This point underscores the importance of their contribution. However, even if the identified strategies on how to reconcile and balance different, competing demands are important, they are not easy to apply in practice. First, the strategies require frequent and high-quality interaction between different actors adhering to different institutional logics. Second, even when the strategies are applied successfully, it is difficult to make them sustainable since they rest on a fragile balance between competing logics. However, these are important avenues for future research for researchers who want to follow the route of Waitzberg and colleagues. |
| first_indexed | 2024-04-10T05:29:38Z |
| format | Article |
| id | doaj.art-e69cc034087e452d926f78386d24ca34 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:38Z |
| publishDate | 2022-10-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-e69cc034087e452d926f78386d24ca342023-03-07T09:11:46ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-10-0111102346234810.34172/ijhpm.2022.69224228If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?”Thomas Andersson0School of Business, University of Skövde, Skövde, SwedenWaitzberg and colleagues identified strategies that managers and physicians in hospitals apply to reconcile dilemmas between clinical and economic considerations. Contributions that actually acknowledge the institutional complexity of hospitals and describe how to deal with it are rare. This comment explains the reason behind the institutional complexity in healthcare organizations and argues that institutional complexity is a good foundation for a wellfunctioning and sustainable healthcare, as long as we are able to deal with this complexity. This point underscores the importance of their contribution. However, even if the identified strategies on how to reconcile and balance different, competing demands are important, they are not easy to apply in practice. First, the strategies require frequent and high-quality interaction between different actors adhering to different institutional logics. Second, even when the strategies are applied successfully, it is difficult to make them sustainable since they rest on a fragile balance between competing logics. However, these are important avenues for future research for researchers who want to follow the route of Waitzberg and colleagues.https://www.ijhpm.com/article_4228_af960a686b743756d9c85a2210940aac.pdfcomplexityinstitutional logicshospitalmanagerprofessionalbalancing |
| spellingShingle | Thomas Andersson If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?” International Journal of Health Policy and Management complexity institutional logics hospital manager professional balancing |
| title | If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?” |
| title_full | If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?” |
| title_fullStr | If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?” |
| title_full_unstemmed | If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?” |
| title_short | If It Is Complex, Let It Be Complex – Dealing With Institutional Complexity in Hospitals; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?” |
| title_sort | if it is complex let it be complex dealing with institutional complexity in hospitals comment on dual agency in hospitals what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations |
| topic | complexity institutional logics hospital manager professional balancing |
| url | https://www.ijhpm.com/article_4228_af960a686b743756d9c85a2210940aac.pdf |
| work_keys_str_mv | AT thomasandersson ifitiscomplexletitbecomplexdealingwithinstitutionalcomplexityinhospitalscommentondualagencyinhospitalswhatstrategiesdomanagersandphysiciansapplytoreconciledilemmasbetweenclinicalandeconomicconsiderations |