Organizations as machines, organizations as conversations: Two core metaphors and their consequences

Medical Care

Volumn 49, Issue 12 SUPPL. 1, 2011, Pages

  Suchman, Anthony L ^a  

^a UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY   (United States)

Author keywords

administration; complexity; health services research; hospital administration; management; organizational change; organizational improvement; quality improvement

Indexed keywords

ANXIETY; CONVERSATION; DEFENSE MECHANISM; HEALTH CARE ORGANIZATION; MACHINE LEARNING; MEDICAL LITERATURE; PRIORITY JOURNAL; REVIEW; SOCIAL INTERACTION; TRANSLATIONAL RESEARCH;

DELIVERY OF HEALTH CARE; EFFICIENCY, ORGANIZATIONAL; HUMANS; METAPHOR; MODELS, ORGANIZATIONAL; ORGANIZATIONAL INNOVATION; QUALITY IMPROVEMENT; QUALITY OF HEALTH CARE; TOTAL QUALITY MANAGEMENT; UNITED STATES;

EID: 81855198075     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181d55a05     Document Type: Review

References (42)

1. Hafferty FW, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med. 1994;69:861-871. (Pubitemid 24365512)
2. Litzelman DA, Cottingham AH. The new formal competency-based curriculum and informal curriculum at Indiana University School of Medicine: overview and 5-year analysis. Acad Med. 2007;82:410-421. (Pubitemid 46597455)
3. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet. 2003;362: 1225-1230. (Pubitemid 37255352)
4. Oxman AD, Sackett DL, Chalmers I, et al. A surrealistic mega-analysis of redisorganization theories. J R Soc Med. 2005;98:563-568. (Pubitemid 41807624)
5. Zimmerman B, Lindberg C, Plsek P. Edgeware: Insights From Complexity Science for Health Care Leaders. Irving, TX: VHA Inc; 1998.
6. Stacey R. Strategic Management and Organisational Dynamics: The Challenge of Complexity. Harlow, United Kingdom: Pearson Education Ltd; 2000.
7. Plsek P. Redesigning health care with insights from the science of complex adaptive systems. In: Committee on Quality Healthcare in America Institute of Medicine, ed. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001:309-322.
8. Taylor F. Scientific Management. New York, NY: Harper Brothers; 1911.
9. Deci EL. Why We Do What We Do: The Dynamics of Personal Autonomy. New York, NY: GP Putnam's Sons; 1995.
10. Heifetz RA. Leadership Without Easy Answers. Cambridge, MA: Havard University Press; 1994.
11. Broekstra G. An organization is a conversation. In: Grant D, Keenoy T, Swick C, eds. Discourse and Organization. London, United Kingdom: Sage; 1998.
12. Stacey R. Complex Responsive Process in Organizations: Learning and Knowledge Creation. London, United Kingdom: Routledge; 2001.
13. Suchman AL. Control and relation: two foundational values and their consequences. In: Suchman AL, Botelho RJ, Hinton-Walker P, eds. Partnerships in Healthcare: Transforming Relational Process. Rochester, NY: University of Rochester Press; 1998.
14. Suchman A. A new theoretical foundation for relationship-centered care. J Gen Intern Med. 2006;21:S40-S44.
15. Smith TS, Stevens GT, Caldwell S. The familiar and the strange: Hopfield network models for prototype-entrained attachment-mediated neurophysiology. Soc Perspect Emotion. 1999;5:213-245.
16. Edward Lorenz, father of chaos theory and butterfly effect, dies at 90. MIT News. April 16, 2008.
17. Bak P, Paczusci M. Complexity, contingency and criticality. Proc Natl Acad Sci USA. 1995;92:6689-6696.
18. Cottingham AH, Suchman AL, Litzelman DA, et al. Enhancing the informal curriculum of a medical school: a case study in organizational culture change. J Gen Inten Med. 2008;23:715-722.
19. Cavallo D. Emergent design and learning environments: building on indigenous knowledge. IBM Syst J. 2000;39:768-781. (Pubitemid 32087747)
20. Institute for Healthcare Improvement. Testing changes. Available at: http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/How ToImprove/testingchanges.htm. (Accessed October 18, 2009).
21. Collins JC, Porras JI. Built to Last: Successful Habits of Visionary Companies. New York, NY: HarperCollins; 1994.
22. Deputy Under Secretary of the Army Knowledge Center. Lean Six Sigma. Available at: http://www.army.mil/ArmyBTKC/focus/cpi/tools3.htm. (Accessed October 18, 2009).
23. Cooperrider DL. Positive image, positive action: the affirmative basis of organizing. In: Srivastva S, Cooperrider DL, eds. Appreciative Management and Leadership. Euclid, OH: Williams Custom Publishing; 1999:91-125.
24. Suchman AL, Williamson PR, Litzelman DA, et al. Toward an informal curriculum that teaches professionalism: transforming the social environment of a medical school. J Gen Inten Med. 2004;19: 499-502.
25. Buscell P. More We Than Me: How the Fight Against MRSA Led to a New Way of Collaborating at Albert Einstein Medical Center. Borden-town, NJ: Plexus Institute; 2008.
26. Marsh DR, Schroeder DG, Dearden KA, et al. The power of positive deviance. BMJ. 2004;329:l177-1179.
27. Suchman AL, Williamson PR. Principles and practices of relationshipcentered meetings. In Suchman AL, Sluyter DJ, Williamson PR. Leading Change in Healthcare: Transforming Organizations Using Complexity, Positive Psychology and Relationship-centered Care. London: Radcliffe Publishing; 2011.
28. Risdon C, Rowe M, Neuwirth Z, et al. Communication on healthcare teams. In: Novack DH, Saizow RB, Clark W, et al, eds. Doc.Com. St. Louis, MO: American Academy on Communication in Healthcare. Available at: http://webcampus. drexelmed.edu/doccom/user. (Accessed October 25, 2009).
29. Glouberman S, Zimmerman B. Complicated and complex systems: what would successful reform of Medicare look like? In: Forest P, Marchildon GP, Mclntosh T, eds. Changing Health Care in Canada. Toronto, ON: University of Toronto Press; 2004.
30. Dougherty D, Conway PH. The "3T's" road map to transform Us health care: the "how" of high-quality care. JAMA. 2008;299:2319-2321. (Pubitemid 351724400)
31. Aiken LH, Sochalski J, Lake ET. Studying outcomes of organizational change in health services. Med Care. 1997;35:NS6-NS18. (Pubitemid 127726681)
32. Marvel K, Bailey A, Pfaffly C, et al. Relationship-centered administration: transferring effective communication skills from the exam room to the conference room. J Healthc Manag. 2003;48:112.
33. Safran DG, Miller WL, Beckman HB. Organizational dimensions of relationship-centered care. J Gen Intern Med. 2006;21:S1-S9.
34. Gittell JH, Fairfield KM, Bierbaum B, et al. Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospital study of surgical patients. Med Care. 2000;38:807-819.
35. Greenhalgh T, Russell J. Reframing evidence synthesis as rhetorical action in policymaking drama. Healthc Policy. 2005;1:31-39.
36. Dopson S, Fitzgerald L. Knowledge to Action? Evidence-Based Health Care in Context. Oxford: Oxford University Press; 2005.
37. Gabbay J, le May A. Evidence based guidelines or collectively constructed "mindlines?" Ethnographic study of knowledge management in primary care. BMJ. 2004;329:1013-1017.
38. Cornwall A, Jewkes R. What is participatory research? Soc Sci Med. 1995;41:1667-1676. (Pubitemid 26473708)
39. Susman GI, Evered RD. An assessment of the scientific merits of action research. Adm Sci Q. 1978;23:582-603.
40. Berwick DM. The science of improvement. JAMA. 2008;299:1182-1184. (Pubitemid 351398433)
41. Pellico LH, Chinn PL. Narrative criticism: a systematic approach to the analysis of story. J Holist Nurs. 2007;25:58-65.
42. Steiner JF. The use of stories in clinical research and health policy. JAMA. 2005;294:2901-2904. (Pubitemid 41785872)