Strategic Management in Hospitals: Tensions between the Managerial and Institutional Lens
Journal Title: BAR: Brazilian Administration Review - Year 2017, Vol 14, Issue 2
Abstract
The relationship between organizations and their environments has been object of study by scholars of the theory of organizations and in discussions concerning organizational strategy. When these perspectives come together, two sets of different but overlapping forces in the strategy formation process are highlighted. The purpose of this study is to analyze how strategic management contributed to reducing tensions derived from managerial and institutional logics in philanthropic hospitals. It is a comparative case study, with a multi-method approach. The data were examined using narrative and document analysis techniques. The analysis indicated that integrating organizational-managerialist and institutional perspectives raises continuous tensions within organizations with a direct impact on managerial decisions, strategic actions and performance. The strategic management approach should be sensitive enough to recognize and reduce these tensions and find ways to integrate them more effectively. This effort requires a combination of strong leadership skills and appropriate managerial tools. Flexibility, adaptability, creativity and informal interactions should be the basis of any strategic initiatives. Daring and innovation of the hospitals - more than acquiescence - are essential to their social and financial sustainability.
Authors and Affiliations
Pascuci, Lucilaine Maria; Meyer Júnior, Victor; Crubellate, João Marcelo
Keywords
Related Articles
- EP ID EP40641
- DOI -
- Views 214
- Downloads 0
Understanding the Entrepreneurial Process: a Dynamic Approach
There is considerable predominance in the adoption of perspectives based on characteristics in research into entrepreneurship. However, most studies describe the entrepreneur from a static or snapshot approach; very few...
Sports Mega-Event Sponsorship: The Impact of FIFA Reputation and World Cup Image on Sponsor Brand Equity
The present study investigates the influence the organizing body’s reputation has on the image of a sports mega-event and on the mega-event sponsors’ consumer-based brand equities. The study's main theoretical referenc...
Exploring Risk Perception and Degree of Internationalization of Brazilian Small-and-Medium Enterprises
This research investigates managerial risk perception regarding internationalization of small and medium-sized enterprises in the Brazilian context. We examine how managers’ perception of risk influences firms’ degrees...
How to Deal with Negative Publicity: the Importance of Consumer Involvement
Negative information about companies can have a harmful effect on consumer perceptions. However, few studies investigate how consumers process negative publicity and how companies should react to it. In order to examin...
Does Operational Risk Disclosure Quality Increase Operating Cash Flows?
This study aims to measure the degree of operational risk disclosure and examine its impact on operating cash flow of banks listed on the UAE Abu Dhabi Stock Exchange (ADX) and Dubai Financial Market (DFM) during the p...