Journal
HEALTH CARE MANAGEMENT REVIEW
Volume 28, Issue 2, Pages 141-154Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00004010-200304000-00005
Keywords
complexity theory; discontinuous change; nurses; ownership conversion; participation in decision making; physicians; service coordination; threat-rigidity theory
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This study looks into the 'black box of hospital ownership conversion in a natural experiment. We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. As predicted from complexity theory, MDs and RNs had greater levels of participation and influence over final decision choices in converted hospitals than in nonconverted hospitals.
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