Research Article

The challenges are organizational not just clinical

  1. Ranga Ramanujam1,
  2. Denise M. Rousseau2,*

Article first published online: 21 SEP 2006

DOI: 10.1002/job.411

Issue

Journal of Organizational Behavior

Journal of Organizational Behavior

Special Issue: Healthcare: The problems are organizational not clinical

Volume 27, Issue 7, pages 811–827, November 2006

Additional Information

How to Cite

Ramanujam, R. and Rousseau, D. M. (2006), The challenges are organizational not just clinical. J. Organiz. Behav., 27: 811–827. doi: 10.1002/job.411

Author Information

  1. 1

    Krannert School of Management, Purdue University, West Lafayette, IN 47907-2076, U.S.A.

  2. 2

    Heinz School of Public Policy and Management, Tepper School of Business, Carnegie Mellon University, Pittsburgh, PA 15213, U.S.A.

*Carnegie Mellon University, Heinz School, 2101D Hamburg Hall, 4800 Forbes Avenue, Pittsburgh, PA 15213, U.S.A.

Publication History

  1. Issue published online: 21 SEP 2006
  2. Article first published online: 21 SEP 2006
  3. Manuscript Received: 15 JUN 2006
  4. Manuscript Revised: 15 JUN 2006
  5. Manuscript Accepted: 15 JUN 2006

Funded by

  • Regenstrief Center for Healthcare Engineering, Purdue University
  • VA HSR&D Center for Implementing Evidence-based Practice, Roudebush VAMC, Indianapolis
  • H.J. Heinz II professorship

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Abstract

Contemporary hospitals fall far short in applying both state-of-the art clinical knowledge and management practices of known effectiveness. Organization and management practices in hospitals are shaped by four factors: their conflicting missions, a distinctive and largely professional workforce, demanding external environments, and a complex day-to-day task environment. This article identifies two critical organizing challenges that hospitals face: organizational learning and implementing effective high involvement management practices. It discusses how findings from organizational research, including articles in this special issue, identify solutions to the problems underlying these challenges. Copyright © 2006 John Wiley & Sons, Ltd.

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