The aim of this paper is to provide empirical evidences supporting the definition of hospital wards’ boundaries in organisational designing processes, by suggesting services aggregation criteria that are focused on organisational complexity. In order to test the research hypotheses, a panel data analysis was conducted on Lombardy hospitals in Italy. Information was gathered both from administrative records - aggregated at in-patient ward level - and general registry offices. The results highlight that the wards offering integrated services perform better than those that are more specialised. However, for growing levels of within-complexity, the positive effects of formal integration between wards tend to reduce. Some guidelines for practitioners engaged in defining hospitals’ organisational structures can be drawn from the empirical analysis

Mariani, L., Cavenago, D. (2014). Defining hospital's internal boundaries An organisational complexity criterion. HEALTH POLICY, 117(2), 239-246 [10.1016/j.healthpol.2014.04.008].

Defining hospital's internal boundaries An organisational complexity criterion

CAVENAGO, DARIO
2014

Abstract

The aim of this paper is to provide empirical evidences supporting the definition of hospital wards’ boundaries in organisational designing processes, by suggesting services aggregation criteria that are focused on organisational complexity. In order to test the research hypotheses, a panel data analysis was conducted on Lombardy hospitals in Italy. Information was gathered both from administrative records - aggregated at in-patient ward level - and general registry offices. The results highlight that the wards offering integrated services perform better than those that are more specialised. However, for growing levels of within-complexity, the positive effects of formal integration between wards tend to reduce. Some guidelines for practitioners engaged in defining hospitals’ organisational structures can be drawn from the empirical analysis
Articolo in rivista - Articolo scientifico
Organisational complexity; Organisational design in hospital; Wards' performance;
Italian
2014
117
2
239
246
none
Mariani, L., Cavenago, D. (2014). Defining hospital's internal boundaries An organisational complexity criterion. HEALTH POLICY, 117(2), 239-246 [10.1016/j.healthpol.2014.04.008].
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/51293
Citazioni
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 2
Social impact