Managerial Solutions to Hospitals’ Challenges

Federica Morandi, PhD
Catholic University of Sacred Heart- Altems

Series: Health Care in Transition
BISAC: MED043000




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In the attempt to provide a global vision of the challenges faced by hospitals, this book analyzes the dense network of rules and expectations coming from institutions, patients and professionals in which healthcare organizations are embedded.
The numerous changes that have occurred within a large part of the healthcare systems during the last 20 years, have determined important consequences, which have been promptly faced by managers. Uncertainty, rules, and innovations are just some of the main ingredients of the challenges to be tackled, whereas mimicry, legitimacy and diffusion of managerial fashions are some of the core strategies implemented to face them. Hospitals survival depends on the ability to intercept on time and to accomplish quickly the external expectations. The role of managers is to create a workplace in which changes are possible. Individual and organizational work value congruence can facilitate it by improving the quality of communication, the degree of trust in hospitals’ missions, and physicians’ and nurses’ knowledge of the processes. Hospital challenges reach up to the single physician, often asking him/her to play new and conflicting roles. The “new” physician needs to balance his/her time to accomplish ambiguous expectations, to fulfill heterogeneous tasks, and to compete for scarce resources in order to embrace the changes. In this vein, physicians’ negotiation skills assume a strategic role for the successful running of hospitals. (Imprint: Nova)



Chapter 1. Introducing Hospital Challenges

Chapter 2. The Ceremonial Approach of Healthcare Organizations: A Surviving Challenge

Chapter 3. Managing Uncertainty: The Quality Certification Adoption Between Managerial Fashions and Social Contagion

Chapter 4. Common Inside Challenges: Looking for Organizational and Individual Work Values Congruence

Chapter 5. The Strategy of Negotiation: Natural Predisposition and Organization Needs

About the Author


Chapter 1

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Chapter 5

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The main audience of the book is composed by healthcare professionals (physicians, nurses), healthcare managers (CEOs; Clinical Directors; Departmental Managers), and healthcare policymakers (for example Ministry of Health officials). Moreover, at an academic level, the audience is represented by Ph.D.s, Fellow Researchers in organizational design, organizational behavior and human resource management of healthcare organizations. Finally students of master degrees or of high specialization courses represent a very possible audience.

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