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Regionalizing Healthcare in Alberta: Legislated Change, Uncertainty and Loose Coupling
Author(s) -
Hinings C. R.,
Casebeer Ann,
Reay Trish,
GoldenBiddle Karen,
Pablo Amy,
Greenwood Royston
Publication year - 2003
Publication title -
british journal of management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 108
eISSN - 1467-8551
pISSN - 1045-3172
DOI - 10.1111/j.1467-8551.2003.00390.x
Subject(s) - loose coupling , government (linguistics) , health care , task (project management) , coupling (piping) , business , organizational change , public relations , computer science , political science , management , economics , law , engineering , mechanical engineering , philosophy , linguistics , programming language
In this paper,we examine the re‐organizing attempts of the Alberta government in healthcare from the viewpoint of uncertainty,loose coupling and the frequently unrecognized consequences of such change.We suggest that our understanding of change processes can be enhanced by conceptualizing the impact of task and environmental uncertainty through the nature of coupling between organizational elements.Based on our .ndings,we propose that the greater the degree of loose coupling in an organization,the more di .cult change is likely to be,and the more likely the occurrence of unanticipated consequences.