| 000 -LEADER |
|---|
| fixed length control field |
01151pab a2200181 454500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
180718b1999 xxu||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME |
|---|
| Personal name |
Denis, Jean-Louis |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
The struggle to implement teaching-hospital mergers |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Date of publication, distribution, etc. |
1999 |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Extent |
p.285-311 |
| 362 ## - DATES OF PUBLICATION AND/OR SEQUENTIAL DESIGNATION |
|---|
| Dates of publication and/or sequential designation |
Fall |
| 520 ## - SUMMARY, ETC. |
|---|
| Summary, etc. |
This paper presents some initial results from a longitudinal study of two major hospital mergers (involving three large institutions each). After examining the context of the two mergers and the cultures that must be integrated, we describe the processes of pre-merger negotiation, leadership development, strategic framing and operationalization. Despite very different processes that seem on the surface smoother in one organization than in the other, both organizations have experienced difficulties in achieving successful operationalization. We conclude that the context of limited resources, diffuse power and divergent cultures are largely responsible for the difficulties experienced. - Reproduced |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Teaching |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Hospitals |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Health services |
| 773 ## - HOST ITEM ENTRY |
|---|
| Main entry heading |
Canadian Public Administration |
| 909 ## - |
|---|
| -- |
45566 |
