DOES ORGANIZATION MATTER? A STUDY OF PHYSICIANS' IDEAL ORGANIZATION |
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| Authors: | Björn Brorström Viveka Nilsson |
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| Institution: | 1. Professor and Prorector at University College of Bor?s, Sweden;2. and a Researcher at the School of Public Administration, University of Gothenburg, Sweden;3. The authors are respectively, Professor and Prorector at University College of Bor?s, Sweden;4. and a Researcher at the School of Public Administration, University of Gothenburg, Sweden. |
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| Abstract: | It is a known phenomenon that it is difficult to make organizational changes within professional organizations. One recurring observation and experience from health care studies is that it is difficult to discuss the last organizational change with professionals because the most recent change is always perceived as the worst. In order to avoid this routine response, the authors of this article asked 56 senior physicians from the Swedish health care sector what their ideal organization looks like. The authors note that there is a strong institutionalized idea among the physicians of how health care should be organized. The image is not particularly complicated: the organization should be based on the meeting between doctor and patient. One conclusion in the article is that professionals dislike change, but nevertheless, they still want it. Actual change is not the problem – only changes that are not in compliance with the professionals' opinions of organization and management. |
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| Keywords: | organizational change ideal organization professional groups |
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