Abstract
In this study of 162 hospitals, it was found that the chief executive officer's (CEO's) interpretation of strategic issues is related to the existing hospital strategy and the hospital's information processing structure. Strategy was related to interpretation in terms of the extent to which a given strategic issue was perceived as controllable or uncontrollable. Structure was related to the extent to which an issue was defined as positive or negative, was labeled as controllable or uncontrollable, and was perceived as leading to a gain or a loss. Together, strategy and structure accounted for a significant part of the variance in CEO interpretations of strategic events. The theoretical and managerial implications of these findings are discussed.
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Selected References
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- Ashmos D. P. Who's making the big decisions? Health Prog. 1990 Apr;71(3):28-9, 74. [PubMed] [Google Scholar]
- Blair J. D., Whitehead C. J. Too many on the seesaw: stakeholder diagnosis and management for hospitals. Hosp Health Serv Adm. 1988 Summer;33(2):153–166. [PubMed] [Google Scholar]
- Cook K., Shortell S. M., Conrad D. A., Morrisey M. A. A theory of organizational response to regulation: the case of hospitals. Acad Manage Rev. 1983 Apr;8(2):193–205. [PubMed] [Google Scholar]
- Files L. A. Strategy formulation in hospitals. Health Care Manage Rev. 1988 Winter;13(1):9–16. [PubMed] [Google Scholar]
- Hambrick D. C. Environment, strategy, and power within top management teams. Adm Sci Q. 1981 Jun;26(2):253–275. [PubMed] [Google Scholar]
- Hein S. L., Glazer-Waldman H. R. Identification of strategic planning skills for managers in health care. Health Care Superv. 1988 Apr;6(3):58–66. [PubMed] [Google Scholar]
- Maier N. R. Assets and liabilities in group problem solving: the need for an integrative function. Psychol Rev. 1967 Jul;74(4):239–249. doi: 10.1037/h0024737. [DOI] [PubMed] [Google Scholar]
- Meyer A. D. Adapting to environmental jolts. Adm Sci Q. 1982 Dec;27(4):515–537. [PubMed] [Google Scholar]
- Shortell S. M., Morrison S. M., Robbins S. Strategy making in health care organizations: a framework and agenda for research. Med Care Rev. 1985 Fall;42(2):219–266. doi: 10.1177/107755878504200203. [DOI] [PubMed] [Google Scholar]