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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?"
University of Skövde, School of Business. University of Skövde, Enterprises for the Future Research Environment. Faculty of Theology, Diaconal & Leadership, VID Specialized University, Oslo, Norway. (Medarbetarskap och Organisatorisk resiliens (FORE), Followership and Organizational Resilience)ORCID iD: 0000-0002-1989-2745
2022 (English)In: International Journal of Health Policy and Management, E-ISSN 2322-5939, Vol. 11, no 10, p. 2346-2348Article in journal, Letter (Refereed) Published
Abstract [en]

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 well-functioning 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.

Place, publisher, year, edition, pages
Kerman University of Medical Sciences , 2022. Vol. 11, no 10, p. 2346-2348
Keywords [en]
Balancing, Complexity, Hospital, Institutional Logics, Manager, Professional
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
URN: urn:nbn:se:his:diva-21004DOI: 10.34172/ijhpm.2022.6922ISI: 000762227700001PubMedID: 35279038Scopus ID: 2-s2.0-85139713483OAI: oai:DiVA.org:his-21004DiVA, id: diva2:1647115
Note

CC BY 4.0

ePublished: 9 March 2022

Available from: 2022-03-25 Created: 2022-03-25 Last updated: 2024-07-04Bibliographically approved

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Andersson, Thomas

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