Skip to main content

Advertisement

SpringerLink
Log in

An Integrated Multitheoretical Perspective of Public Healthcare Services Delivery Organizations

  • Published:
Public Organization Review Aims and scope Submit manuscript

Abstract

This study seeks to create an integrated multitheoretical model of public healthcare services delivery organizations. A literature review of selected organization theories and their relevance to healthcare was conducted. By illuminating the aspects of control over resources, isomorphism, adaptation to the changing environment and contracts between parties based on the key elements of the resource-dependence theory, institutional theory, population ecology and transaction-cost economics theory, an integrated multitheoretical model of a public healthcare services delivery organization has been presented. There is a need for empirically testing the model proposed by this study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Abbott, K. W., Green, J. F., & Keohane, R. O. (2016). Organizational ecology and institutional change in global governance. International Organization, 70(2), 247–277.

    Article  Google Scholar 

  • Aldrich, H., & Ruef, M. (2006). Organizations evolving (2nd ed.). Thousand Oaks: SAGE Publications.

    Google Scholar 

  • Alexander, J. A., & D’Aunno, T. A. (2003). Alternative perspectives on institutional and market relationships in the US health care sector. In S. S. Mick & M. E. Wyttenbach (Eds.), Advances in health care organization theory (pp. 45–77). San Francisco: Wiley.

    Google Scholar 

  • Alexander, J. A., & Morrisey, M. A. (1989). A resource-dependence model of hospital contract management. Health Services Research, 24(2), 259–284.

    Google Scholar 

  • Angst, C. M., Block, E. S., D'arcy, J., & Kelley, K. (2017). When do IT security investments matter? Accounting for the influence of institutional factors in the context of healthcare data breaches. MIS Quarterly, 41(3), 893–916.

    Article  Google Scholar 

  • Arndt, M., & Bigelow, B. (2006). Toward the creation of an institutional logic for the management of hospitals: efficiency in the early nineteen hundreds. Medical Care Research and Review, 63(3), 369–394.

    Article  Google Scholar 

  • Arthur, R., Nicholson, A., Sibani, P., & Christensen, M. (2017). The tangled nature model for organizational ecology. Computational & Mathematical Organization Theory, 23(1), 1–31.

    Article  Google Scholar 

  • Banaszak-Holl, J., Zinn, J. S., & Mor, V. (1996). The impact of market and organizational characteristics on nursing care facility service innovation: a resource dependency perspective. Health Services Research, 31(1), 97–117.

    Google Scholar 

  • Barney, J. B. (1986). Strategic factor markets: Expectations, luck, and business strategy. Management Science, 32(10), 1231–1241.

    Article  Google Scholar 

  • Bloom, J. R. (2010). The contribution of organizational theory to Health Care. In C. B. Schoonhoven & F. Dobbin (Eds.), Stanford’s organization theory renaissance, 1970–2000 (pp. 319–327). Bingley: Emerald Group Publishing Limited.

    Chapter  Google Scholar 

  • Bloom, J. R., Alexander, J. A., & Nuchols, B. A. (1997). Nurse staffing patterns and hospital efficiency in the United States. Social Science & Medicine, 44(2), 147–155.

    Article  Google Scholar 

  • Bolon, D. S. (1998). Bureaucracy, institutional theory and institutionaucracy: applications to the hospital industry. Journal of Health and Human Services Administration, 21(1), 70–79.

    Google Scholar 

  • Burnett, S., Mendel, P., Nunes, F., Wiig, S., van den Bovenkamp, H., Karltun, A., Robert, G., Anderson, J., Vincent, C., & Fulop, N. (2016). Using institutional theory to analyse hospital responses to external demands for finance and quality in five European countries. Journal of Health Services Research & Policy, 21(2), 109–117.

    Article  Google Scholar 

  • Casciaro, T., & Piskorski, M. (2005). Power imbalance, mutual dependence, and constraint absorption: A closer look at resource dependence theory. Administrative Science Quarterly, 50(2), 167–199.

    Article  Google Scholar 

  • CMS (2015). Comprehensive Care for Joint Replacement Model. https://innovation.cms.gov/initiatives/cjr. Accessed 20 Dec 2015.

  • Cook, K., Shortell, S. M., Conrad, D. A., & Morrisey, M. A. (1983). A theory of organizational response to regulation: the case of hospitals. Academy of Management Review, 8(2), 193–205.

    Google Scholar 

  • Cronin, C. E. (2015). Hospitals' Choices and the Institutional Environment: the Role of Community Benefit in the Health Care Sector. Cleveland: Case Western Reserve University.

    Google Scholar 

  • D’Aunno, T. A., & Zuckerman, H. S. (1987). Hospital federations: an integration of perspectives from organizational theory. Medical Care Review, 44(2), 323–343.

    Article  Google Scholar 

  • DiMaggio, P., & Powell, W. W. (1983). The iron cage revisited: collective rationality and institutional isomorphism in organizational fields. American Sociological Review, 48(2), 147–160.

    Article  Google Scholar 

  • Dixit, S. K. (2016). Strategic management in hospitals – Theory and practice: orthopedic and spine services. International Journal of Healthcare Management, 9(3), 181–189.

    Article  Google Scholar 

  • Donaldson, L. (1995). American anti-management theories of organization : a critique of paradigm proliferation (Cambridge studies in management). Cambridge: Cambridge University Press.

    Google Scholar 

  • Donaldson, L. (2001). The contingency theory of organizations. Thousand Oaks: Sage.

    Book  Google Scholar 

  • Eicher, B. (2018). Transaction cost economics and trust in the hospital sector: An empirical examination using the example of Germany. International Journal of Healthcare Management, 11(4), 341–350.

    Article  Google Scholar 

  • Fareed, N., & Mick, S. S. (2011). To make or buy patient safety solutions: A resource dependence and transaction cost economics perspective. Health Care Management Review, 36(4), 288–298.

    Article  Google Scholar 

  • Gerald, F. D., & Cobb, J. A. (2010). Resource dependence theory: Past and future. In C. B. Schoonhoven, & F. Dobbin (Eds.), Stanford's Organization Theory Renaissance, 1970–2000 (Vol. 28, pp. 21–42, Research in the Sociology of Organizations). Bingley: Emerald Group Publishing Limited.

  • Ghoshal, S., & Moran, P. (1996). Bad for practice: a critique of the transaction cost theory. The Academy of Management Review, 21(1), 13–47.

    Article  Google Scholar 

  • Green, L., Fryer, G., Jr., Yawn, B., Lanier, D., & Dovey, S. (2001). Ecology of medical care. The New England Journal of Medicine, 344(2021), 5.

    Google Scholar 

  • Hannan, M. T., & Freeman, J. (1989). Organizational ecology. Cambridge: Harvard University Press.

    Google Scholar 

  • Hansen, A. H. (2013). A population-based study of health care utilisation according to care level, socio-economic group, and continuity of primary care. The Tromsø Study. Tromsø: University of Tromsø.

    Google Scholar 

  • Hatch, M. J. (1997). Organisation theory: modern symbolic and postmodern perspecticves. Oxford: Oxford University Press.

    Google Scholar 

  • Hillman, A. J., Withers, M. C., & Collins, B. J. (2009). Resource dependence theory: a review. Journal of Management, 35(6), 1404–1427.

    Article  Google Scholar 

  • House, R. J. (1991). The distribution and exercise of power in complex organizations: a MESO theory. The Leadership Quarterly, 2(1), 23–58.

    Article  Google Scholar 

  • Hu, Y. (2017). Strategy and ecology: a synthesis and research agenda. International Journal of Organizational Analysis, 25(3), 456–467.

    Article  Google Scholar 

  • Kazley, A. S., & Ozcan, Y. A. (2007). Organizational and environmental determinants of hospital EMR adoption: a National Study. Journal of Medical Systems, 31(5), 375–384.

    Article  Google Scholar 

  • Laffont, J.-J., & Martimort, D. (1998). Transaction costs, institutional design and the separation of powers. European Economic Review, 42(3), 673–684.

    Article  Google Scholar 

  • Lawrence, T., Suddaby, R., & Leca, B. (2011). Institutional work: refocusing institutional studies of organization. Journal of Management Inquiry, 20(1), 52–58.

    Article  Google Scholar 

  • Leeman, J., & Mark, B. (2006). The chronic care model versus disease management programs: a transaction cost analysis approach. Health Care Management Review, 31(1), 18–25.

    Article  Google Scholar 

  • Mayer, K. J., & Sparrowe, R. T. (2013). Integrating theories in AMJ articles. Academy of Management Journal, 56(4), 917–922.

    Article  Google Scholar 

  • McKinley, W., & Mone, M. A. (2003). Micro and macro perspectives in organization theory: A tale of incommensurability. In C. Knudsen & H. Tsoukas (Eds.), The oxford handbook of organization theory (pp. 345–372). Oxford: Oxford University Press.

    Google Scholar 

  • McKinley, W., & Scherer, A. G. (2000). Some unanticipated consequences of organizational restructuring. The Academy of Management Review, 25(4), 735–752.

    Article  Google Scholar 

  • Meyer, R. E., & Höllerer, M. A. (2014). Does institutional theory need redirecting? Journal of Management Studies, 51(7), 1221–1233.

    Google Scholar 

  • Mick, S. S., & Shay, P. D. (2014a). Introduction: events, themes, and Progress. In S. S. Mick & P. D. Shay (Eds.), Advances in health care organization theory (2nd ed., pp. 1–24). San Francisco: Jossey-Bass.

    Google Scholar 

  • Mick, S. S., & Shay, P. D. (2014b). A primer of organization theories in health care. In Advances in health care organization theory (2nd ed., pp. 25–52). San Francisco: Jossey-Bass.

    Google Scholar 

  • Miles, J. A. (2012). Management and organization theory: a Jossey-Bass reader. Hoboken: John Wiley.

    Google Scholar 

  • Miner, J. B. (2006). Organizational behavior 2: essential theories of process and structure. Armonk: M.E. Sharpe.

    Google Scholar 

  • Perrow, C. (1981). Perspectives on organization design and behavior. In A. H. Van de Ven & W. F. Joyce (Eds.), Wiley series on organizational assessment and change. New York: Wiley.

    Google Scholar 

  • Pfeffer, J. (1972a). Interorganizational influence and managerial attitudes. Academy of Management Journal, 15(3), 317–330.

    Google Scholar 

  • Pfeffer, J. (1972b). Merger as a response to organizational interdependence. Administrative Science Quarterly, 17(3), 382–394.

  • Pfeffer, J. (1972c). Size and composition of corporate boards of directors: the organization and its environment. Administrative Science Quarterly, 17(2), 218–228.

  • Pfeffer, J., & Salancik, G. R. (1978). The external control of organizations: a resource dependence approach. New York: Harper and Row Publishers.

    Google Scholar 

  • Rao, P. K. (2002). The economics of transaction costs: theory, methods and applications. New York: Palgrave Macmillan.

    Google Scholar 

  • Rao, P. K. (2003). Development finance. Heidelberg: Springer-Verlag Berlin.

    Book  Google Scholar 

  • Royston, G., Hinings, C. R., & Dave, W. (2014). Rethinking institutions and organizations. Journal of Management Studies, 51(7), 1206.

    Google Scholar 

  • Sambasivan, M., Deepak, T., Salim, A. N., & Ponniah, V. (2017). Analysis of delays in Tanzanian construction industry: Transaction cost economics (TCE) and structural equation modeling (SEM) approach. Engineering Construction and Architectural Management, 24(2), 308–325.

    Article  Google Scholar 

  • Sanders, T. J. (2010). Propositions for investigating adoption and diffusion of the magnet hospital concept through the lenses of organization theory. Journal of Management and Marketing Research, 4(March 2010), 1–19.

    Google Scholar 

  • Shay, P. D., & Mick, S. S. (2013). Post-acute care and vertical integration after the patient protection and affordable care act. Journal of Healthcare Management, 58(1), 15–27.

    Article  Google Scholar 

  • Shepherd, D. A., & Suddaby, R. (2017). Theory building: a review and integration. Journal of Management, 43(1), 59–86.

    Article  Google Scholar 

  • Shortell, S. M., & Kaluzny, A. D. (1994). Health care management: Organization, design, and behavior (Delmar series in health services administration) (3rd ed.). Albany: Delmar Publishers.

    Google Scholar 

  • Stewart, M., & Ryan, B. (2015). Ecology of health care in Canada. Canadian Family Physician, 61(5), 449–453.

    Google Scholar 

  • Stiles, R. A., Mick, S. S., & Wise, C. G. (2001). The logic of transaction cost economics in health care organization theory. Health Care Management Review, 26(2), 85–92.

    Article  Google Scholar 

  • Ulrich, D., & Barney, J. B. (1984). Perspectives in organizations: resource dependence, efficiency, and population. Academy of Management Review, 9(3), 471–481.

    Article  Google Scholar 

  • Weech-Maldonado, R., Zinn, J. E., & Hamilton, R. D., 3rd. (2001). The performance impact of context in TQM implementation: the nursing facility industry. Health Services Management Research, 14(3), 147–158.

    Article  Google Scholar 

  • White, K. R. (2000). Hospitals sponsored by the Roman Catholic Church: separate, equal, and distinct? The Milbank Quarterly, 78(2), 213–239.

    Article  Google Scholar 

  • Williamson, O. E. (1975). Markets and hierarchies: analysis and antitrust implications. New York: Free Press.

    Google Scholar 

  • Williamson, O. E. (1981). The economics of organization: The transaction cost approach. American Journal of Sociology, 87(3), 548–577.

    Article  Google Scholar 

  • Williamson, O. E. (1985). The economic institutions of capitalism. New York: Free Press.

    Google Scholar 

  • Williamson, O. E. (1998). Transaction cost economics: how it works; where it is headed. De Economist, 146(1), 23–58.

    Article  Google Scholar 

  • Yang, C. (2015). Implementing hospital innovation in Taiwan: the perspectives of institutional theory and social capital. The International Journal of Health Planning and Management, 30(4), 403–425.

    Article  Google Scholar 

  • Young, R. C. (1988). Is population ecology a useful paradigm for the study of organizations? American Journal of Sociology, 94(1), 1–24.

    Article  Google Scholar 

  • Zinn, J., & Branson, S. D. (2014). Finding strength in numbers: bringing theoretical pluralism into the analysis of health care organizations. In S. S. Mick & P. D. Shay (Eds.), Advances in health care organization theory (2nd ed., pp. 53–78). San Francisco: Jossey-Bass.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Health Policy and Management Program, Mount Saint Mary’s University, Los Angeles, CA, USA

    Sunil K. Dixit

  2. The Victoria Institute of Strategic Economic Studies (VISES), Victoria University, Melbourne, Australia

    Sunil K. Dixit

  3. Taylor’s University Lakeside Campus, Subang Jaya, Selangor, Malaysia

    Murali Sambasivan

Authors
  1. Sunil K. Dixit
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Murali Sambasivan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sunil K. Dixit.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dixit, S.K., Sambasivan, M. An Integrated Multitheoretical Perspective of Public Healthcare Services Delivery Organizations. Public Organiz Rev 20, 319–335 (2020). https://doi.org/10.1007/s11115-019-00440-w

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11115-019-00440-w

Keywords

Search

Navigation