Managing clinical integration: A comparative case study in a merged university hospital

Journal of Health, Organisation and Management

Volumn 26, Issue 4, 2012, Pages 486-507

  Choi, Soki ^a   Holmberg, Ingalill ^b   Löwstedt, Jan ^c   Brommels, Mats ^a,d  

^a KAROLINSKA INSTITUTE   (Sweden)

^b STOCKHOLM SCHOOL OF ECONOMICS   (Sweden)

^c STOCKHOLM UNIVERSITY   (Sweden)

^d UNIVERSITY OF HELSINKI   (Finland)

Author keywords

Acquisitions and mergers; Change management; Health services; Hospitals; Integration; Public sector organizations; Sweden

Indexed keywords

EID: 84864136509     PISSN: 14777266     EISSN: None     Source Type: Journal    
DOI: 10.1108/14777261211251544     Document Type: Article

References (64)

1. Andreopoulos, S. (1997), "The folly of teaching-hospital mergers" in The New England Journal of Medicine, Vol. 336, pp. 61-4.
2. Armenakis, A., Harris, S. and Field, H. (2001), "Paradigms in organisational change: change agent and change target perspectives" in Golembievski, R. (Ed.), Handbook of Organizational Behavior, Dekker, New York, NY, pp. 631-58.
3. Balogun, J. and Hailey, V. (2008), Exploring Strategic Change, Pearson, Harlow.
4. Bamford, D. and Forrester, P. (2003), "Managing planned and emergent change within an operations management environment" in International Journal of Operations & Production Management, Vol. 23, No. 5, pp. 546-64.
5. Bartunek, J. (2003), Organizational and Educational Change: The Life and Role of a Change Agent Group, Lawrence Erlbaum Associates, Mahwah, NJ.
6. Bazzoli, G., Dynan, L., Burns, L. and Yap, C. (2004), "Two decades of organizational change in health care: what have we learned?" in Medical Care Research and Review, Vol. 61, pp. 247-331.
7. Beer, M. and Nohria, N. (2000a), Breaking the Code of Change, Harvard Business School Press, Boston, MA.
8. Beer, M. and Nohria, N. (2000b), "Cracking the code of change" in Harvard Business Review, May-June, pp. 133-41.
9. Birkinshaw, J., Bresman, H. and Håkanson, L. (2000), "Managing the post-acquisition integration process: how the human integration and task integration processes interact to foster value creation" in Journal of Management Studies, Vol. 37, No. 3, pp. 395-425.
10. Blackstone, E. and Fuhr, J. (2003), "Failed hospital mergers" in Journal of Health Law, Vol. 36, pp. 301-24.
11. Brorström, B. (2004), Den stora vändningen - ett universitetssjukhus i förändring?, Studentlitteratur, Lund.
12. Brunsson, N. (2002), The Organization of Hypocrisy - Talk, Decisions and Actions in Organizations, Abstrakt forlag, Norway.
13. Burnes, B. (2004a), "Emergent change and planned change - competitors or allies? The case of XYZ construction" in International Journal of Operations & Production Management, Vol. 24, No. 9, pp. 886-902.
14. Burnes, B. (2004b), Managing Change, 4th ed., FT/Prentice Hall, London.
15. Cartwright, S. and Schoenberg, R. (2006), "Thirty years of mergers and acquisitions research: recent advances and future opportunities" in British Journal of Management, Vol. 17, pp. 1-5.
16. Choi, S. and Brommels, M. (2009), "Logics of pre-merger decision-making processes: the case of Karolinska University Hospital" in Journal of Health Organization and Management, Vol. 23, No. 2, pp. 240-54.
17. Choi, S., Holmberg, I., Löwstedt, J. and Brommels, M. (2011), "Executive management in radical change - the case of the Karolinska University Hospital merger" in Scandinavian Journal of Management, Vol. 27, No. 1, pp. 11-23.
18. Chreim, S., Williams, B., Janz, L. and Dastmalchian, A. (2010), "Change agency in a primary care context: the case of distributed leadership" in Health Care Management Review, Vol. 35, No. 2, pp. 187-99.
19. Cohen, M. and Jennings, G. (2005), "Mergers involving academic medical institutions: impact on academic radiology departments" in Journal of the American College of Radiology, Vol. 2, pp. 174-82.
20. Corwin, J., Cooper, M., Leiman, J., Stein, D., Pardes, H. and Berman, M. (2003), "Model for a merger: New York-Presbyterian's use of service lines to bring two academic medical centers together" in Academic Medicine, Vol. 78, No. 11, pp. 1114-20.
21. Datta, D. (1991), "Organizational fit and acquisition performance: effects of post-acquisition integration" in Strategic Management Journal, Vol. 12, pp. 281-97.
22. Degeling, P., Maxwell, S., Kennedy, J. and Coyle, B. (2003), "Medicine, management, and modernisation: a 'danse macabre'?" in BMJ, Vol. 326, No. 7390, pp. 649-52.
23. Denis, J., Lamothe, L. and Langley, A. (2001), "The dynamics of collective leadership and strategic change in pluralistic organizations" in Academy of Management Journal, Vol. 44, pp. 8809-37.
24. Denis, J., Lamothe, L. and Langley, A. (1999), "The struggle to implement teaching-hospital mergers" in Canadian Public Administration, Vol. 42, No. 3, pp. 285-311.
25. Denis, J., Langley, A. and Cazale, L. (1996), "Leadership and strategic change under ambiguity" in Organization Studies, Vol. 17, pp. 673-99.
26. Denison, D. (1997), "Towards a process based theory of organizational design: can organizations be designed around value-chains and networks?" in Walsh, J. and Huff, A. (Eds.), Advances in Strategic Management: Organizational Learning and Strategic Management, JAI Press, Greenwich, CT, pp. 1-44.
27. Doolin, B. (2002), "Enterprise discourse, professional identity and the organizational control of hospital clinicians" in Organization Studies, Vol. 23, pp. 369-90.
28. Dranove, D. and Lindrooth, R. (2003), "Hospital consolidation and costs: another look at the evidence" in Journal of Health Economics, Vol. 22, No. 6, pp. 983-97.
29. Eisenhardt, K. (1989), "Building theory from case study research" in Academy of Management Review, Vol. 14, No. 4, pp. 532-50.
30. Empson, L. (2000), "Mergers between professional service firms: exploring an undirected process of integration" in Advances in Mergers and Acquisitions, Vol. 1, pp. 205-37.
31. Empson, L. (2001a), "Introduction: knowledge management in professional service firms" in Human Relations, Vol. 54, No. 7, pp. 811-7.
32. Empson, L. (2001b), "Fear of exploitation and fear of contamination: impediments to knowledge transfer in mergers between professional service firms" in Human Relations, Vol. 54, pp. 839-62.
33. Empson, L. (2004), "Organizational identity change: managerial regulation and member identification in an accounting form acquisition" in Accounting, Organizations and Society, Vol. 29, pp. 759-81.
34. Evetts, J. (1999), "Professions: changes and continuities" in International Review of Sociology, Vol. 9, pp. 75-85.
35. Ferguson, B. and Goddard, M. (1997), "The case for and against mergers" in Ferguson, B., Sheldon, T. and Posnett, J. (Eds.), Concentration and Choice in Healthcare, Royal Society of Medicine, London, pp. 67-82.
36. Freidson, E. (1984), "The changing nature of professional control" in Annual Review of Sociology, Vol. 10, pp. 1-20.
37. Fulop, N., Protopsaltis, G., King, A., Allen, P., Hutchings, A. and Normand, C. (2005), "Changing organisations: a study of the context and processes of mergers of healthcare providers in England" in Social Science & Medicine, Vol. 60, pp. 119-30.
38. Fulop, N., Protopsaltis, G., Hutchings, A., King, A., Allen, P., Normand, C. and Walters, R. (2002), "Process and impact of mergers of NHS trusts: multicentre case study and management cost analysis" in BMJ, Vol. 325, pp. 246-73.
39. Goddard, M. and Ferguson, B. (1997), Mergers in the NHS: Made in Heaven or Marriages of Convenience, The Nuffield Trust, London.
40. Hallin, B. (2000), "Hela havet stormar - etablering av ledning inom ett sammanslaget universitetssjukhus", Utvärderingsprogrammet Västra Götalandsregionen, Göteborg, rapport nr 5.
41. Hammer, M. and Champy, J. (1993), Re-engineering the Corporation: A Manifesto for Business Revolution, Harper Collins, New York, NY.
42. Haspeslagh, P. and Jemison, D. (1991), Managing Acquisitions: Creating Value through Corporate Renewal, The Free Press, New York, NY.
43. Holmberg, I. (1986), "Företagsledares mandat", Stockholm School of Economics, Stockholm, PhD dissertation.
44. Kastor, J. (2001), "Mergers of teaching hospitals: three case studies" in The American Journal of Medicine, Vol. 110, pp. 76-9.
45. Kastor, J. (2003), Mergers of Teaching Hospitals in Boston, New York, and Northern California, The University of Michigan Press, Ann Arbor, MI.
46. Kavanagh, M. and Ashkanasy, N. (2006), "The impact of leadership and change management strategy on organizational culture and individual acceptance of change during a merger" in British Journal of Management, Vol. 17, pp. 81-103.
47. Kitchener, M. (2002), "Mobilizing the logic of managerialism in professional fields: the case of academic health centre mergers" in Organization Studies, Vol. 23, pp. 391-420.
48. Kitchener, M. and Gask, L. (2003), "NPM merger mania: lessons from an early case" in Public Management Review, Vol. 5, No. 1, pp. 20-44.
49. Leonard-Barton, D. (1990), "A dual methodology for case studies: synergistic use of a longitudinal single site with replicated multiple sites" in Organization Science, Vol. 1, No. 1, pp. 248-66.
50. McClenahan, J. (1999), "Mergers. Apart at the seams" in Health Service Journal, Vol. 109, No. 5681, pp. 22-3.
51. McNulty, T. and Ferlie, E. (2002), Re-engineering Healthcare: The Complexities of Organizational Transformation, Oxford University Press, Oxford.
52. McNulty, T. and Ferlie, E. (2004), "Process transformation: limitations to radical organizational change within public service organizations" in Organization Studies, Vol. 25, pp. 1389-412.
53. Mallon, W. (2003), "The alchemists: a case study of a failed merger" in Academic Medicine, Vol. 78, No. 11, pp. 1090-104.
54. Meyer, J. and Rowan, B. (1977), "Institutionalized organizations: formal structure as myth and ceremony" in American Journal of Sociology, Vol. 83, pp. 340-63.
55. Miles, M. and Huberman, A. (1994), Qualitative Data Analysis: An Expanded Sourcebook, Sage, Newbury Park, CA.
56. Montgomery, K. (2001), "Physician executives: the evolution and impact of a hybrid profession" in Health Care Management, Vol. 2, pp. 215-41.
57. Patton, M. (1999), "Enhancing the quality and credibility of qualitative analysis" in Health Services Research, Vol. 34, No. 5, pp. 1189-208.
58. Pettigrew, A. (1997), "What is processual analysis?" in Scandinavian Journal of Management, Vol. 13, No. 4, pp. 337-48.
59. Ramaswamy, K. (1997), "The performance impact of strategic similarity in horizontal mergers: evidence from the US banking industry" in Academy of Management Journal, Vol. 40, No. 3, pp. 697-715.
60. Sales, A. and Mirvis, P. (1985), "When cultures collide: issues in acquisitions" Kimberley, J. and Quinn, R. (Eds.), New Futures: The Challenge of Managing Corporate Transitions, Dow Jones-Irwin, Homewood, IL.
61. Todd, J. (1999), "The trouble with mergers: why are so many nonprofit hospital partnerships crumbling?" in Health Care Business, September-October, pp. 92-101.
62. Weiner, B., Amick, H. and Lee, S-Y. (2008), Medical Care Research and Review, DOI 10.1177/1077558708317802.
63. Yin, R. (1994), Case Study Research: Design and Methods, Sage Publications, Thousand Oaks, CA.
64. Yin, R. (1999), "Enhancing the quality of case studies in health services research" in Health Services Research, Vol. 34, No. 5, pp. 1209-25.