Hospital restructuring in smaller urban Ontario settings

Unwritten rules and uncertain relations

Datos Bibliográficos

ID8424151
AutoresNeil Hanlon (0000-0003-2398-755X, University of Northern British Columbia, autor de correspondencia), Neil T Hanlon
Año2001
Volumen45
Número2
Páginas252-267
Fecha de publicación2001-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCanadian Geographies / Géographies canadiennes (JOURNAL)
Identificadores de la revistaISSN: 0008-3658 • E-ISSN: 1541-0064
EditorialWiley (PUBLISHER • GB)
DOI10.1111/j.1541-0064.2001.tb01487.x
OpenAlexW2040195534
IdiomaEN
Citas recibidas12
Referencias citadas27

Important changes are underway in the management and provision of welfare service activities in advanced capitalist societies as governments scale back their responsibilities and commitments to social security and health care. In order to understand the processes by which the reform imperatives of the central state are implemented at the local level, it is necessary to account for particular organizational and place‐based contingencies which influence decision making and strategic response. This paper presents a framework for understanding the context of executive decision making in the human services sector and uses the framework to illustrate issues of locally designed hospital restructuring in smaller urban centres in the province of Ontario, Canada. Specific experiences of the Chief Executive Officers of two non‐metropolitan hospital settings are examined to explore the unwritten rules of hospital conduct and the relations of uncertainty that characterize efforts to restructure hospital services through formal arrangements with other independently governed hospitals and health care delivery organizations

Business · Context (archaeology) · Economic growth · Economics · Health care · Metropolitan area · Order (exchange) · Political science · Public relations · Restructuring · Scale (ratio) · Service (business) · Service delivery framework · Social security · Social Welfare · Welfare · Employment and Welfare Studies · Finance · Healthcare innovation and challenges · Law · Marketing · Medicine · Public Administration · Social Sciences and Governance