{"title":"授权组织变革的挑战和背景：艾伯塔省医疗保健系统的整合","authors":"Howard P. Greenwald","doi":"10.1111/capa.12544","DOIUrl":null,"url":null,"abstract":"<p>The research reported here is a case study of mandated consolidation in the organization of Alberta's health care system. Informed by the concept of organizational context, this study illustrates the complexity of factors affecting outcomes of mandated change and draws implications for theory and practice. Consolidation of separate agencies was initiated in 2008. Data were obtained through 2020 via interviews of key informants, reviews of official documents, and searches of news media. Ultimately, the mandate appears to have succeeded, but at substantial and potentially avoidable cost. An understanding of multiple dimensions of context can contribute to successful strategies for change.</p>","PeriodicalId":46145,"journal":{"name":"Canadian Public Administration-Administration Publique Du Canada","volume":"66 4","pages":"478-495"},"PeriodicalIF":1.1000,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/capa.12544","citationCount":"0","resultStr":"{\"title\":\"Challenges and contexts in mandated organizational change: Consolidation in Alberta's health care system\",\"authors\":\"Howard P. Greenwald\",\"doi\":\"10.1111/capa.12544\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>The research reported here is a case study of mandated consolidation in the organization of Alberta's health care system. Informed by the concept of organizational context, this study illustrates the complexity of factors affecting outcomes of mandated change and draws implications for theory and practice. Consolidation of separate agencies was initiated in 2008. Data were obtained through 2020 via interviews of key informants, reviews of official documents, and searches of news media. Ultimately, the mandate appears to have succeeded, but at substantial and potentially avoidable cost. An understanding of multiple dimensions of context can contribute to successful strategies for change.</p>\",\"PeriodicalId\":46145,\"journal\":{\"name\":\"Canadian Public Administration-Administration Publique Du Canada\",\"volume\":\"66 4\",\"pages\":\"478-495\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2023-11-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/capa.12544\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian Public Administration-Administration Publique Du Canada\",\"FirstCategoryId\":\"91\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/capa.12544\",\"RegionNum\":4,\"RegionCategory\":\"管理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC ADMINISTRATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Public Administration-Administration Publique Du Canada","FirstCategoryId":"91","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/capa.12544","RegionNum":4,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC ADMINISTRATION","Score":null,"Total":0}
Challenges and contexts in mandated organizational change: Consolidation in Alberta's health care system
The research reported here is a case study of mandated consolidation in the organization of Alberta's health care system. Informed by the concept of organizational context, this study illustrates the complexity of factors affecting outcomes of mandated change and draws implications for theory and practice. Consolidation of separate agencies was initiated in 2008. Data were obtained through 2020 via interviews of key informants, reviews of official documents, and searches of news media. Ultimately, the mandate appears to have succeeded, but at substantial and potentially avoidable cost. An understanding of multiple dimensions of context can contribute to successful strategies for change.
期刊介绍：
Canadian Public Administration/Administration publique du Canada is the refereed scholarly publication of the Institute of Public Administration of Canada (IPAC). It covers executive, legislative, judicial and quasi-judicial functions at all three levels of Canadian government. Published quarterly, the journal focuses mainly on Canadian issues but also welcomes manuscripts which compare Canadian public sector institutions and practices with those in other countries or examine issues in other countries or international organizations which are of interest to the public administration community in Canada.
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