Academic Medical Centres (AMCs) are large organisations with a complex structure due to various intertwined missions and (public) roles that can be conflicting. This complexity makes it difficult to adapt to changing circumstances. The literature points to the use of business models to address such challenges.
View Article and Find Full Text PDFIntroduction: Academic medical centres (AMCs) are designed to perform multiple tasks within a single organisation. This institutional complexity gives rise to intricate governance challenges and promotes incrementalism and muddling.
Method: In this study, we hypothesised that radical change could provide a solution to the current incrementalism and we explored the conditions under which such changes could or could not be achieved.
The accessibility and affordability of good quality health care is increasingly under pressure. 'Passende zorg' may support health care organisations and care providers in achieving the much needed transformation in health care. For 'Passende zorg' to be an effective instrument, adequate financial conditions are a prerequisite.
View Article and Find Full Text PDFEntropy (Basel)
October 2023
A redesign of hospitals (i.e., partitioning departments and delegating decision authority) may be needed to deal with variable demand.
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