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Intra-organizational dynamics as drivers of entrepreneurship among physicians and managers in hospitals of western countries

Author

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  • Koelewijn, Wout T.
  • Ehrenhard, Michel L.
  • Groen, Aard J.
  • van Harten, Wim H.

Abstract

During the past decade, entrepreneurship in the healthcare sector has become increasingly important. The aging society, the continuous stream of innovative technologies and the growth of chronic illnesses are jeopardizing the sustainability of healthcare systems. In response, many European governments started to reform healthcare during the 1990s, replacing the traditional logic of medical professionalism with business-like logics. This trend is expected to continue as many governments will have to reduce their healthcare spending in response to the current growing budget deficits. In the process, entrepreneurship is being stimulated, yet little is known about intra-hospital dynamics leading to entrepreneurial behavior.

Suggested Citation

  • Koelewijn, Wout T. & Ehrenhard, Michel L. & Groen, Aard J. & van Harten, Wim H., 2012. "Intra-organizational dynamics as drivers of entrepreneurship among physicians and managers in hospitals of western countries," Social Science & Medicine, Elsevier, vol. 75(5), pages 795-800.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:5:p:795-800
    DOI: 10.1016/j.socscimed.2012.03.055
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    References listed on IDEAS

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    1. repec:mpr:mprres:3869 is not listed on IDEAS
    2. Wood, Van R. & Bhuian, Shahid & Kiecker, Pamela, 2000. "Market Orientation and Organizational Performance in Not-for-Profit Hospitals," Journal of Business Research, Elsevier, vol. 48(3), pages 213-226, June.
    3. Degeling, Pieter & Zhang, Kai & Coyle, Barbara & Xu, Lingzhong & Meng, Qingyue & Qu, Jiangbin & Hill, Michael, 2006. "Clinicians and the governance of hospitals: A cross-cultural perspective on relations between profession and management," Social Science & Medicine, Elsevier, vol. 63(3), pages 757-775, August.
    4. Currie, Graeme & Dingwall, Robert & Kitchener, Martin & Waring, Justin, 2012. "Let’s dance: Organization studies, medical sociology and health policy," Social Science & Medicine, Elsevier, vol. 74(3), pages 273-280.
    5. Abernethy, Margaret A. & Vagnoni, Emidia, 2004. "Power, organization design and managerial behaviour," Accounting, Organizations and Society, Elsevier, vol. 29(3-4), pages 207-225.
    6. Bhuian, Shahid N. & Menguc, Bulent & Bell, Simon J., 2005. "Just entrepreneurial enough: the moderating effect of entrepreneurship on the relationship between market orientation and performance," Journal of Business Research, Elsevier, vol. 58(1), pages 9-17, January.
    7. Lega, Federico & DePietro, Carlo, 2005. "Converging patterns in hospital organization: beyond the professional bureaucracy," Health Policy, Elsevier, vol. 74(3), pages 261-281, November.
    8. Ritsila, Jari & Tervo, Hannu, 2002. "Effects of Unemployment on New Firm Formation: Micro-level Panel Data Evidence from Finland," Small Business Economics, Springer, vol. 19(1), pages 31-40, August.
    9. Stephen Ackroyd & John A. Hughes & Keith Soothill, 1989. "Public Sector Services And Their Management," Journal of Management Studies, Wiley Blackwell, vol. 26(6), pages 603-619, November.
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    Cited by:

    1. Ingo Bode, 2013. "Processing Institutional Change in Public Service Provision," Public Organization Review, Springer, vol. 13(3), pages 323-339, September.
    2. Marciánová, Pavla & Pirožek, Petr, 2023. "The entrepreneurial orientation of general practitioners—Current theory and practice in the Czech Republic," Health Policy, Elsevier, vol. 131(C).
    3. Yoav Gal & Adiv Gal, 2019. "Knowledge Bias: Neo-feudalism and Other Reasons to Avoid Sharing Knowledge by Knowledge Workers," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 10(2), pages 826-848, June.
    4. Koelewijn, Wout T. & Ehrenhard, Michel L. & Groen, Aard J. & van Harten, Wim H., 2014. "Exploring personal interests of physicians in hospitals and specialty clinics," Social Science & Medicine, Elsevier, vol. 100(C), pages 93-98.
    5. Mauro, Marianna & Cardamone, Emma & Cavallaro, Giusy & Minvielle, Etienne & Rania, Francesco & Sicotte, Claude & Trotta, Annarita, 2014. "Teaching hospital performance: Towards a community of shared values?," Social Science & Medicine, Elsevier, vol. 101(C), pages 107-112.

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