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The impact of stratification on hospital performance
Author(s) -
Hetherington Robert W.
Publication year - 1990
Publication title -
canadian review of sociology/revue canadienne de sociologie
Language(s) - French
Resource type - Journals
SCImago Journal Rank - 0.414
H-Index - 35
eISSN - 1755-618X
pISSN - 1755-6171
DOI - 10.1111/j.1755-618x.1990.tb00450.x
Subject(s) - stratification (seeds) , bureaucracy , operationalization , welfare economics , sociology , humanities , political science , economics , philosophy , epistemology , seed dormancy , botany , germination , dormancy , politics , law , biology
Cet article examine la relation entre différents aspects de la stratification et la performance des départements d'un système multi‐hospitalier. Précisément, l'impact de la stratification sur la coordination, le climat d'adaptation au changement, la qualité des soins et le morale sont discuté. Nos prédictions sont basées sur le modèle axiomatique de Hage, qui fût baséà l'origine sur la théorie de la bureaucratie de Max Weber. A l'encontre de cette théorie, la stratification, en pratique, n'est qu'un détriment à la performance organisationnelle, surtout lorsque celle‐ci est opérationalise en terme de pathologie de communication. This paper examines the relationships between aspects of stratification and performance in departments of a multihospital system. Specifically, impacts of stratification on co‐ordination, climate for change, quality of care and morale are addressed. The predicted impacts are based on Hage's axiomatic model, which was originally based on Max Weber's theory of bureaucracy. Contrary to this theory, stratification in practice is found to be a detriment to organizational performance, particularly where it is operationalized in terms of communications pathologies.