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Middle management involvement in handling variable patient flows
Linköping University, Department of Management and Engineering, Logistics & Quality Management. Linköping University, Faculty of Science & Engineering.
Linköping University, Department of Management and Engineering, Logistics & Quality Management. Linköping University, Faculty of Science & Engineering.
Linköping University, Department of Management and Engineering, Logistics & Quality Management. Linköping University, Faculty of Science & Engineering.
2017 (English)In: Management Research Review, ISSN 2040-8269, E-ISSN 2040-8277, Vol. 40, no 9, p. 1007-1024Article in journal (Refereed) Published
Abstract [en]

Purpose – This study aims to explore the involvement of middle management in forming strategies tomanage variable acute patient flows at a hospital.Design/methodology/approach – Empirical evidence from a university hospital was gathered viainterviews, internal documents, observation and participation in meetings. The role of middle management inthe development of strategies was analyzed using literature on middle management involvement.Findings – In managing variable acute patient flows, middle management adopts a number of roles andbehavioral characteristics that have been previously described in research. The role of facilitator is the mostprominent, with middle managers prioritizing individual goals and strategies for the clinical departments thatthey manage before their collective responsibility for hospital performance. Unclear responsibilities andmandates within the organization, together with a lack of hospital-wide strategies concerning how the acutepatient flow should bemanaged, are contributing factors to this behavior.Research limitations/implications – The research is based on an explorative, single case studymethodology. Future research assessing the extent of different middle management roles in health care, inwhich more empirical data and quantitative analysis is conducted, is encouraged.Practical implications – There is a need for top management to establish long-term goals to enhancemiddle management roles when developing strategies for managing variable patient flows.Originality/value – Middle management involvement in developing strategies for managing variablepatient flows is a novel topic for research. The interface and division of tasks between top and middlemanagement is crucial for successful strategies in managing variable patient flows.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2017. Vol. 40, no 9, p. 1007-1024
Keyword [en]
Health care, Sweden, Middle management, Strategy, Patient flow, Variation
National Category
Economics and Business
Identifiers
URN: urn:nbn:se:liu:diva-141835DOI: 10.1108/MRR-05-2016-0114OAI: oai:DiVA.org:liu-141835DiVA, id: diva2:1147905
Available from: 2017-10-09 Created: 2017-10-09 Last updated: 2017-10-09

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Olsson, Olle ViktorAronsson, HåkanSandberg, Erik
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