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The Advantages and Disadvantages of Bureaucratic Structure in Healthcare Organizations


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Abstract


This paper aims to examine the advantages and disadvantages of bureaucratic management in healthcare organizations, specifically how it affects healthcare practice. The paper identifies Max Weber's bureaucratic theory of management (1905), the structure of bureaucracy management, its limitation, and its constraints on today's management practices. The paper reflects on the fact that most organizations both in public and private sectors have been ineffective in management because the bureaucratic systems under which they operate are not flexible despite being confronted with a very dynamic working environment. Change in management practice can create long-lasting advantages and high performance and allows the organization to respond to internal and external opportunities, and use its creativity to include new ideas, processes, or products. It is recommended that organizations should have a well-shared vision and mission rather than being organized through hierarchy and fixed policy and procedures. By minimizing bureaucracy, healthcare employers will be able to provide a conducive environment for innovation within their organizations. Through management innovation, an organization can perform more effectively and efficiently, which provides it with a competitive advantage.
Copyright © 2020 The Authors - Published by Praise Worthy Prize under the CC BY-NC-ND license.

Keywords


Bureaucracy; Advantages; Disadvantages; Healthcare; Bureaucratic Management

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References


Fiorio, C. V., Gorli, M., & Verzillo, S. (2018). Evaluating organizational change in health care: the patient-centered hospital model. BMC Health Services Research, 18(1).
https://doi.org/10.1186/s12913-018-2877-4

Luzeaux, D. (2013). Engineering Large-Scale Complex Systems. Large Scale Complex Systems and Systems of Systems Engineering: Case Studies, 1–84.
https://doi.org/10.1002/9781118601495.ch1

Javanparast, S., Freeman, T., Baum, F., Labonté, R., Ziersch, A., Mackean, T., … Sanders, D. (2018). How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations. BMC Public Health, 18(1).
https://doi.org/10.1186/s12889-018-5273-4

Gorli, M., Liberati, E. G., Galuppo, L., & Scaratti, G. (2017). The Patient Centered Organizational Model in Italian Hospitals. Healthcare Ethics and Training, 290–308.
https://doi.org/10.4018/978-1-5225-2237-9.ch012

Hearld, L. R., Alexander, J. A., Fraser, I., & Jiang, H. J. (2007). Review: How Do Hospital Organizational Structure and Processes Affect Quality of Care? Medical Care Research and Review, 65(3), 259–299.
https://doi.org/10.1177/1077558707309613

Andreasson, J., Ljungar, E., Ahlstrom, L., Hermansson, J., & Dellve, L. (2018). Professional Bureaucracy and Health Care Managers’ Planned Change Strategies: Governance in Swedish Health Care. Nordic Journal of Working Life Studies, 8(1).
https://doi.org/10.18291/njwls.v8i1.104849

Parkin, F. (2014). Max Weber.
https://doi.org/10.4324/9781315822280

Serpa, S., & Ferreira, C. M. (2019). The Concept of Bureaucracy by Max Weber. International Journal of Social Science Studies, 7(2), 12.
https://doi.org/10.11114/ijsss.v7i2.3979

Kauer, L. (2016). Long-term Effects of Managed Care. Health Economics, 26(10), 1210–1223.
https://doi.org/10.1002/hec.3392

Mulder, P. (2020, February 14). What is Max Weber Bureaucracy theory? Definition & examples. Retrieved from https://www.toolshero.com/management/bureaucratic-theory-weber/

Gerald, E. C. (2018). Excessive Bureaucratization: The J-Curve Theory of Bureaucracy and Max Weber Through the Looking Glass. Handbook of Bureaucracy, 29–40.
https://doi.org/10.4324/9781315093291-3

Rockman, B. (2019, September 30). Bureaucracy. Retrieved February 16, 2020, from https://www.britannica.com/topic/bureaucracy

LaMarco, N. (2019, March 1). What Is a Bureaucratic Organization? Small Business - Chron.com. https://smallbusiness.chron.com/bureaucratic-organization-20379.html.

Godoi, A. F., Silva, L. F., & Cardoso, O. O. (2018). Ensaio Teórico Sobre A Burocracia Em Weber, O Conflito De Agência E A Governança Corporativa: Uma Reflexão Sobre A Burocracia Profissionalizante. Revista De Administração De Roraima - RARR, 7(2), 426.
https://doi.org/10.18227/2237-8057rarr.v7i2.4034

Ritzer, G. (1975). Professionalization, Bureaucratization and Rationalization: The Views of Max Weber. Social Forces, 53(4), 627.
https://doi.org/10.1093/sf/53.4.627

Bruce, S., & Yearley, S. (2006). The SAGE Dictionary of Sociology.
https://doi.org/10.4135/9781446279137

Hamel, G., & Zanini, M. (2017). Busting Bureaucracy. London Business School Review, 28(1), 6–9.
https://doi.org/10.1111/2057-1615.12147

Krause, G. A. (2013). Bureaucratic Ambition: Careers, Motives, and the Innovative Administrator. By Manuel P. Teodoro. Baltimore: Johns Hopkins University Press. 2011. 240p. $45.00. Perspectives on Politics, 11(3), 962–963.
https://doi.org/10.1017/s1537592713001758

Mintzberg, H. (1983) Structure in Fives. Designing Effective Organizations. Engelwood-Cliffs, CA, USA: Prentice-Hall.

Glouberman, S., & Mintzberg, H. (2001). Managing the Care of Health and the Cure of Disease - Part I: Differentiation. Health Care Management Review 26(1),56–69.
https://doi.org/10.1097/00004010-200101000-00006

Berlin, J., & Kastberg G. (2011). Styrning av hälso- och sjukvård [Governance of healthcare] Liber, Stockholm.

Andreasson, J., Dellve, L., & Eriksson, A. (2015). Healthcare manager’s views on and approaches to implement models for improving care processes. Journal of Nursing Management 24(2): 219–227.
https://doi.org/10.1111/jonm.12303

Kotter, J.P. (1996). Leading change. Harvard Business Press.

Brunsson, N. (2006). The Organization of hypocrisy. 2 nd edn. Liber, Stockholm

Brunsson, N., & Olsen, J. P. (1993). The Reforming organization. Routledge.

Czarniawska, B. (2008). A Theory of organizing. Edward Elgar.

Czarniawska., B. & Sevón, G. (Eds.). (1996). Translating organizational change. Walter de Gruyter.

DiMaggio, P. J., & Powell, W. (1983). The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. Amercian Sociological Review, 48(2), 147– 160.
https://doi.org/10.2307/2095101

Meyer, J. W., & Rowan, B. (1977). Institutionalized Organizations: Formal Structure as Myth and Ceremony. The American Journal of Sociology 83(2): 340–363. doi: http://web.unitn. it/files/download/12401/americal_journal_of_sociology_83_1977_meyer.pdf
https://doi.org/10.1086/226550

Skagert, K., Dellve, L., Eklöf, M., Ljung, T., Pousette, A., & Ahlborg, G. (2008). Leadership and stress in public human service organizations: Acting shock absorber and sustaining own integrity. Applied ergonomics 39(6): 803–811.
https://doi.org/10.1016/j.apergo.2007.10.006

Tengblad, S. (2003). Den myndige medarbetaren- Strategier för ett konstruktivt medarbetarskap. [The employee authoritative- strategies for a constructive teamwork]. Malmö: Liber Ekonomi

Ohlsson, Ö., & Rombach, B. (1998). Res Pyramiderna.[Raise the Pyramids] Svenska Förlaget. [Swedish publisher]. Stockholm
https://doi.org/10.1016/s0956-5221(99)00035-4

Edling, C., & Sandberg, Å. (2013). New Management and Good Work? A Swedish Experience. In Sandberg, Å. (Eds.) Nordic lights, Work, Management and Welfare in Scandinavia (pp. 384–405). SNS Förlag [SNS publisher].
https://doi.org/10.7202/1024218ar

Cummings, G.G., MacGregor, T., Davey, M., Lee, H., Wong, C.A., Lo, E., Muise, M. & Stafford, E. (2010). Leaderships styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies 47(3), 363–385.
https://doi.org/10.1016/j.ijnurstu.2009.08.006

Vesterinen, S., Suhonen, M., Isola, A., & Paasivaara, L. (2012). Nurse managers leadership styles in Finland. Nursing research and practice (2012).
https://doi.org/10.1155/2012/605379

Damanpour, F. (1991). Organizational innovation: A meta-analysis of effects of determinants and moderators. Academy of Management Journal 34(3): 555–590.
https://doi.org/10.5465/256406

Mathena, K.A. (2002). Nursing manager leadership skills. Journal of Nursing Administration 32(3): 136–142. doi: https://doi.org/10.1097/00005110-200203000-00006.
https://doi.org/10.1097/00005110-200203000-00006

Lachinger. H. K. S., Purdy, N., Cho J., & Almost J. (2006). Antecedents and consequences of nurse manager’s perceptions of organizational support. Nursing Economics 24(1): 20.

Plsek, P.E., & Wilson, T. (2001). Complexity science: complexity, leadership, and management in healthcare organisations. BMJ: British Medical Journal 323(7315): 746.
https://doi.org/10.1136/bmj.323.7315.746

Skytt, B. (2007). First-line nurse managers preconditions for practise: The important Interplay between person and organization (Doctoral dissertation, Uppsala University).

Demerouti, E., & Bakker, A. B. (2011). The job demands-resources model: Challenges for future research. SA Journal of Industrial Psychology 37(2),: 01–09.
https://doi.org/10.4102/sajip.v37i2.974

Burnham, J. (2009). Restructuring Bureaucratic Organizations. Politicians, Bureaucrats and Leadership in Organizations, 24–44.
https://doi.org/10.1057/9780230233829_2


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