Back to the Future: What Healthcare Organizations Need to Thrive in the Face of Persistent Environmental Uncertainty.
Healthcare organizations
environmental uncertainty
future studies
grand challenges
organizational adaptation
strategic management
Journal
Advances in health care management
ISSN: 1474-8231
Titre abrégé: Adv Health Care Manag
Pays: Netherlands
ID NLM: 101090746
Informations de publication
Date de publication:
07 Feb 2024
07 Feb 2024
Historique:
medline:
23
1
2024
pubmed:
23
1
2024
entrez:
23
1
2024
Statut:
ppublish
Résumé
While uncertainty has always been a feature of the healthcare environment, its pace and scope are rapidly increasing, fueled by myriad factors such as technological advancements, the threat and frequency of disruptive events, global economic developments, and increasing complexity. Contemporary healthcare organizations thus persistently face what is known as "deep uncertainty," which obscures their ability to predict outcomes of strategic action and decision-making, presenting them with novel challenges and threatening their survival. Persistent, deep uncertainty challenges us to revisit and reconsider how we think about uncertainty and the strategic actions needed by organizations to thrive under these circumstances. Simply put, how can healthcare organizations thrive in the face of deeply uncertain environments? We argue that healthcare organizations need to employ both adaptive and creative strategic approaches in order to effectively meet patients' needs and capture value in the long-term future. The chapter concludes by offering two ways organizations can build the dynamic capabilities needed to employ such approaches.
Identifiants
pubmed: 38262008
doi: 10.1108/S1474-823120240000022001
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Jennifer L. Hefner, Dori A. Cross and Patrick D. Shay. Published under exclusive licence by Emerald Publishing Limited.
Références
Agwunobi, A. , & Osborne, P. (2016). Dynamic capabilities and healthcare: A framework for enhancing the competitive advantage of hospitals. California Management Review, 58(4), 141–161.
Alimadadi, S. , Davies, A. , & Tell, F. (2022). A palace fit for the future: Desirability in temporal work. Strategic Organization, 20(1), 20–50.
Alvarez, S. , Afuah, A. , & Gibson, C. (2018). Editors' comments: Should management theories take uncertainty seriously? Academy of Management Review, 43(2), 169–172.
Andersson, T. , & Gadolin, C. (2020). Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations. Scandinavian Journal of Management, 36(2), 101107.
Bansal, P. , Reinecke, J. , Suddaby, R. , & Langley, A. (2022). Temporal work: The strategic organization of time. Strategic Organization, 20(1), 6–19.
Barnard, C. I. (1938). The functions of the executive. Harvard University Press.
Barrett, M. P. (2022). Reported Social Unrest Index: March 2022 update. International Monetary Fund.
Begun, J. W. , & Jiang, H. J. (2020). Health care management during Covid-19: Insights from complexity science. NEJM Catalyst Innovations in Care Delivery, 1(5).
Begun, J. W. , & Kaissi, A. A. (2004). Uncertainty in health care environments: Myth or reality? Health Care Management Review, 29(1), 31–39.
Begun, J. W. , Zimmerman, B. , & Dooley, K. (2003). Health care organizations as complex adaptive systems. Advances in health care organization theory, 253, 253–288.
Bentley, F. S. , & Kehoe, R. R. (2020). Give them some slack—They're trying to change! The benefits of excess cash, excess employees, and increased human capital in the strategic change context. Academy of Management Journal, 63(1), 181–204.
Bourgeois, L. J., III . (1985). Strategic goals, perceived uncertainty, and economic performance in volatile environments. Academy of Management Journal, 28(3), 548–573.
Burns, L. R. , Nembhard, I. M. , & Shortell, S. M. (2022). Integrating network theory into the study of integrated healthcare. Social Science & Medicine, 296, 114664.
Child, J. (1972). Organizational structure, environment and performance: The role of strategic choice. Sociology, 6(1), 1–22.
Chowdhury, H. (2023). ChatGPT cost a fortune to make with OpenAI's losses growing to $540 million last year, report says. Business insider . https://www.businessinsider.com/openai-2022-losses-hit-540-million-as-chatgpt-costs-soared-2023-5?international=true&r=US&IR=T
Courtney, H. , Kirkland, J. , & Viguerie, P. (1997). Strategy under uncertainty. Harvard Business Review, 75(6), 67–79.
Cutrer, W. B. , & Ehrenfeld, J. M. (2017). Protocolization, standardization and the need for adaptive expertise in our medical systems. Journal of Medical Systems, 41(12), 1–2.
Dess, G. G. , & Beard, D. W. (1984). Dimensions of organizational task environments. Administrative Science Quarterly, 52–73.
Dill, W. R. (1958). Environment as an influence on managerial autonomy. Administrative Science Quarterly, 409–443.
Dixon, S. E. , Meyer, K. E. , & Day, M. (2010). Stages of organizational transformation in transition economies: A dynamic capabilities approach. Journal of Management Studies, 47(3), 416–436.
Downey, H. K. , Hellriegel, D. , & Slocum, J. W., Jr . (1975). Environmental uncertainty: The construct and its application. Administrative Science Quarterly, 613–629.
Downey, H. K. , & Slocum, J. W. (1975). Uncertainty: Measures, research, and sources of variation. Academy of Management Journal, 18(3), 562–578.
Duncan, R. B. (1972). Characteristics of organizational environments and perceived environmental uncertainty. Administrative Science Quarterly, 313–327.
Edmondson, A. C. (1996). Learning from mistakes is easier said than done: Group and organizational influences on the detection and correction of human error. The Journal of Applied Behavioral Science, 32(1), 5–28.
Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383.
Fergnani, A. (2022). Corporate foresight: A new frontier for strategy and management. Academy of Management Perspectives, 36(2), 820–844.
Ferlie, E. , Fitzgerald, L. , Wood, M. , & Hawkins, C. (2005). The nonspread of innovations: The mediating role of professionals. Academy of Management Journal, 48(1), 117–134.
Figueroa, C. A. , Harrison, R. , Chauhan, A. , & Meyer, L. (2019). Priorities and challenges for health leadership and workforce management globally: A rapid review. BMC Health Services Research, 19(1), 1–11.
Fontana, G. , & Gerrard, B. (2004). A Post Keynesian theory of decision making under uncertainty. Journal of Economic Psychology, 25(5), 619–637.
George, G. , Howard-Grenville, J. , Joshi, A. , & Tihanyi, L. (2016). Understanding and tackling societal grand challenges through management research. Academy of Management Journal, 59(6), 1880–1895.
Gephart, R. , Topal, Ç. , & Zhang, Z. (2010). Future-oriented sensemaking: Temporalities and institutional legitimation. In Process sensemaking and organizing. Oxford University Press.
Gifford, R. , Fleuren, B. , van de Baan, F. , Ruwaard, D. , Poesen, L. , Zijlstra, F. , & Westra, D. (2022). To uncertainty and beyond: Identifying the capabilities needed by hospitals to function in dynamic environments. Medical Care Research and Review, 79(4), 549–561.
Gifford, R. , van de Baan, F. , Westra, D. , Ruwaard, D. , & Fleuren, B. (2023). Through the looking glass: Confronting health care management's biggest challenges in the wake of a crisis. Health Care Management Review, 48(2), 185–196.
Ginter, P. , Duncan, W. J. , & Swayne, L. E. (2018). The strategic management of health care organizations. John Wiley & Sons.
Gioia, D. A. , Thomas, J. B. , Clark, S. M. , & Chittipeddi, K. (1994). Symbolism and strategic change in academia: The dynamics of sensemaking and influence. Organization Science, 5(3), 363–383.
Griffin, M. A. , & Grote, G. (2020). When is more uncertainty better? A model of uncertainty regulation and effectiveness. Academy of Management Review, 45(4), 745–765.
Hearld, L. R. , & Westra, D. (2022). Charting a course: A research agenda for studying the governance of health care networks. Responding to the Grand Challenges in Health Care via Organizational Innovation, 21, 111–132.
Hefner, J. L. , & Nembhard, I. M. (Eds.). (2021). The contributions of health care management to grand health care challenges. Emerald Publishing Limited.
Helmig, B. , Hinz, V. , & Ingerfurth, S. (2014). Extending Miles & Snow's strategy choice typology to the German hospital sector. Health Policy, 118(3), 363–376.
Hensher, M. , & McGain, F. (2020). Health care sustainability metrics: Building a safer, low-carbon health system: Commentary examines how to build a safer, low-carbon health system. Health Affairs, 39(12), 2080–2087.
Hernes, T. , & Maitlis, S. (Eds.). (2012). Process, sensemaking, and organizing. Oxford University Press.
Hollander, J. E. , & Carr, B. G. (2020). Virtually perfect? Telemedicine for COVID-19. New England Journal of Medicine, 382(18), 1679–1681.
Howley, E. (2022). The U.S. Physician shortage is only going to get worse. Here are potential solutions. https://time.com/6199666/physician-shortage-challenges-solutions/
Issel, L. M. (2019). Paradoxes of practice guidelines, professional expertise, and patient centeredness: The medical care triangle. Medical Care Research and Review, 76(4), 359–385.
Issel, L. M. , Rathert, C. , & Hearld, L. (2023). Strategy research in a polarized and politicized environment. Health Care Management Review, 48(2), 109.
Kafetzopoulos, D. , Psomas, E. , & Skalkos, D. (2019). Innovation dimensions and business performance under environmental uncertainty. European Journal of Innovation Management. https://doi.org/10.1108/EJIM-07-2019-0197
Kaplan, S. , & Orlikowski, W. J. (2013). Temporal work in strategy making. Organization Science, 24(4), 965–995.
Karliner, J. , Slotterback, S. , Boyd, R. , Ashby, B. , Steele, K. , & Wang, J. (2020). Health care's climate footprint: The health sector contribution and opportunities for action. The European Journal of Public Health, 30(Suppl. 5), 165–843.
Kazley, A. S. , & Ozcan, Y. A. (2007). Organizational and environmental determinants of hospital EMR adoption: A national study. Journal of Medical Systems, 31, 375–384.
Khan, S. , Vandermorris, A. , Shepherd, J. , Begun, J. W. , Lanham, H. J. , Uhl-Bien, M. , & Berta, W. (2018). Embracing uncertainty, managing complexity: Applying complexity thinking principles to transformation efforts in healthcare systems. BMC Health Services Research, 18(1), 1–8.
Knight, F. H. (1921). Risk, uncertainty and profit. Hougthon Mifflin company.
Kreiser, P. , & Marino, L. (2002). Analyzing the historical development of the environmental uncertainty construct. Management Decision. https://doi.org/10.1108/00251740210441090
Lawrence, P. R. , & Lorsch, J. W. (1967). Differentiation and integration in complex organizations. Administrative Science Quarterly, 1–47.
Li, R. , Kumar, A. , & Chen, J. H. (2023). How chatbots and large language model artificial intelligence systems will reshape modern medicine: Fountain of creativity or Pandora's box? JAMA Internal Medicine. https://doi.org/10.1001/jamainternmed.2023.1835
López-Gamero, M. D. , Molina-Azorín, J. F. , & Claver-Cortés, E. (2011). Environmental uncertainty and environmental management perception: A multiple case study. Journal of Business Research, 64(4), 427–435.
March, J. G. , & Simon, H. A. (1958). Organizations. Wiley.
Mayo, A. T. , Myers, C. G. , & Sutcliffe, K. M. (2021). Organizational science and health care. The Academy of Management Annals, 15(2), 537–576.
Menachemi, N. , & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and Healthcare Policy, 47–55.
Miles, R. E. , Snow, C. C. , Meyer, A. D. , & Coleman, H. J., Jr . (1978). Organizational strategy, structure, and process. Academy of Management Review, 3(3), 546–562.
Milliken, F. J. (1987). Three types of perceived uncertainty about the environment: State, effect, and response uncertainty. Academy of Management Review, 12(1), 133–143.
Mithani, M. A. (2020). Adaptation in the face of the new normal. Academy of Management Perspectives, 34(4), 508–530.
Mladovsky, P. , Srivastava, D. , Cylus, J. , Karanikolos, M. , Evetovits, T. , Thomson, S. , & McKee, M. (2012). Health policy responses to the financial crisis in Europe: Policy summary 5. World Health Organization.
Morgan, D. , & James, C. (2022). Investing in health systems to protect society and boost the economy: Priority investments and order-of-magnitude cost estimates. https://doi.org/10.1787/d0aa9188-en
Nembhard, I. M. , Burns, L. R. , & Shortell, S. M. (2020). Responding to Covid-19: Lessons from management research. NEJM Catalyst Innovations in Care Delivery, 1(2).
O'Reilly, C. A. , & Tushman, M. L. (2004). The ambidextrous organization. Harvard Business Review, 82(4), 74–83.
O'Reilly, C. A. , & Tushman, M. L. (2013). Organizational ambidexterity: Past, present, and future. Academy of Management Perspectives, 27(4), 324–338.
OECD . (2023). OECD Economic Outlook, Interim Report March 2023: A Fragile Recovery. OECD Publishing. https://doi.org/10.1787/d14d49eb-en
Pablo, A. L. , Reay, T. , Dewald, J. R. , & Casebeer, A. L. (2007). Identifying, enabling and managing dynamic capabilities in the public sector. Journal of Management Studies, 44(5), 687–708.
Peeters, R. , Westra, D. , van Raak, A. J. A. , & Ruwaard, D. (2023). Getting our hopes up: How actors perceive network effectiveness and why it matters. Social Science & Medicine, 325. https://doi.org/10.1016/j.socscimed.2023.115911
Pffefer, J. , & Salancik, G. (1978). The external control of organizations: A resource dependence perspective. Pitman Press.
Picquendar, G. , Guedon, A. , Moulinet, F. , & Schuers, M. (2019). Influence of medical shortage on GP burnout: A cross-sectional study. Family Practice, 36(3), 291–296.
Porter, M. E. (2010). What is value in health care. New England Journal of Medicine, 363(26), 2477–2481.
Reay, T. , Goodrick, E. , & D'Aunno, T. (2021). Health care research and organization theory. Cambridge University Press.
Rindova, V. , & Courtney, H. (2020). To shape or adapt: Knowledge problems, epistemologies, and strategic postures under Knightian uncertainty. Academy of Management Review, 45(4), 787–807.
Rindova, V. P. , & Martins, L. L. (2021). Shaping possibilities: A design science approach to developing novel strategies. Academy of Management Review, 46(4), 800–822.
Rouse, W. B. (2008). Health care as a complex adaptive system: Implications for design and management. Bridge-Washington-National Academy of Engineering-, 38(1), 17.
Schilke, O. , Hu, S. , & Helfat, C. E. (2018). Quo vadis, dynamic capabilities? A content-analytic review of the current state of knowledge and recommendations for future research. Academy of Management Annals, 12(1), 390–439.
Schneider, A. M. , Oppel, E. M. , & Winter, V. (2021). Explaining variations in hospitals' use of strategic human resource management: How environmental and organizational factors matter. Health Care Management Review, 46(1), 2–11.
Snowden, D. J. , & Boone, M. E. (2007). A leader's framework for decision making. Harvard Business Review, 85(11), 68.
Teece, D. J. (2014). The foundations of enterprise performance: Dynamic and ordinary capabilities in an (economic) theory of firms. Academy of Management Perspectives, 28(4), 328–352.
Teece, D. J. (2018). Dynamic capabilities as (workable) management systems theory. Journal of Management and Organization, 24(3), 359–368.
Teece, D. , Peteraf, M. , & Leih, S. (2016). Dynamic capabilities and organizational agility: Risk, uncertainty, and strategy in the innovation economy. California Management Review, 58(4), 13–35.
Teece, D. J. , Pisano, G. , & Shuen, A. (1997). Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 509–533.
Thompson, J. D. (1967). Organizations in action. McGraw-Hill.
Wenzel, M. (2022). Taking the future more seriously: From corporate foresight to “future-making”. Academy of Management Perspectives, 36(2), 845–850.
Wenzel, M. , Krämer, H. , Koch, J. , & Reckwitz, A. (2020). Future and organization studies: On the rediscovery of a problematic temporal category in organizations. Organization Studies, 41(10), 1441–1455.
Whyte, J. , Comi, A. , & Mosca, L. (2022). Making futures that matter: Future making, online working and organizing remotely. Organization Theory, 3(1). https://doi.org/10.1177/26317877211069138
Yeager, V. A. , Menachemi, N. , Savage, G. T. , Ginter, P. M. , Sen, B. P. , & Beitsch, L. M. (2014). Using resource dependency theory to measure the environment in health care organizational studies. Health Care Management Review, 39(1), 50–65.