Hospital restructuring in smaller urban Ontario settings

Unwritten rules and uncertain relations

Dados Bibliográficos

ID8424151
AutoresNeil Hanlon (0000-0003-2398-755X, University of Northern British Columbia, autor correspondente), Neil T Hanlon
Ano2001
Volume45
Fascículo2
Páginas252-267
Data de publicação2001-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCanadian Geographies / Géographies canadiennes (JOURNAL)
Identificadores do periódicoISSN: 0008-3658 • E-ISSN: 1541-0064
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1541-0064.2001.tb01487.x
OpenAlexW2040195534
IdiomaEN
Citações recebidas12
Referências 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