Implementing strategies in complex systems: lessons from Brazilian hospitals



Título del documento: Implementing strategies in complex systems: lessons from Brazilian hospitals
Revista: BAR - Brazilian Administration Review
Base de datos:
Número de sistema: 000552871
ISSN: 1807-7692
Autores: 1
2
3
Instituciones: 1Pontifícia Universidade Católica do Paraná, Curitiba, Paranrá. Brasil
2Universidade Positivo, Curitiba, Paraná. Brasil
3DePaul University, Chicago, Illinois. Estados Unidos de América
Año:
Periodo: May
Volumen: 9
Número: Nspe
Paginación: 19-37
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Resumen en inglés Hospitals, as social organizations, are seen as complex, surprising, ambiguous and paradoxical. The theoretical foundation finds its roots in organizational complexity, strategic management characterized by strategy implementation, and sensemaking especially in the context of complex adaptive systems. Managers frequently neglect elements of complexity when they develop models and implement management practices. The purpose of this study is to analyze the implementation of strategies in complex organizations. The focus of the study is two Brazilian nonprofit hospitals. This is a comparative, qualitative case study. Data were gathered from three main sources: interviews, non-participant observation, and documents. Two important aspects of the strategic approach are discussed: first, the implementation of strategies, and second, the influence of ambiguity, unpredictability and uncertainty in the way strategies are implemented. The analysis indicated that the implementation of strategies in the hospitals has to do with the practices and processes that are adopted (how) and the practitioners (strategists) involved (who). The findings reinforce the importance played by the strategizing process in the implementation of strategies. The findings also highlight that strategic practices are adopted in parallel with the formal planning and are characterized by informality.
Disciplinas: Administración y contaduría
Palabras clave: Administración de instituciones
Keyword: Implementation of strategies,
Complex systems,
Strategic practices,
Management of institutions
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