Hospital Sector Organisational Restructuring: Evidence of Its Futility (original) (raw)

2008

Abstract

Restructuring is a prevalent managerial strategy, favoured by those who say they seek to create improvements by merging organisations, streamlining organisational hierarchies or rationalising reporting arrangements (Brocklehurst 2001; Lathrop 1993; Relman 2005; Sen 2003). Proponents tend to argue that they will create through their restructuring efforts greater efficiency, i.e. more benefit for the same or less cost. Restructuring is typically sponsored by those in political or executive positions with capacities to enact such change and assume responsibility for leading efficient and effective services.

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