000			01151pab a2200181 454500
008			180718b1999 xxu||||| |||| 00| 0 eng d
100			_aDenis, Jean-Louis
245			_aThe struggle to implement teaching-hospital mergers
260			_c1999
300			_ap.285-311
362			_aFall
520			_aThis 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			_aTeaching
650			_aHospitals
650			_aHealth services
773			_aCanadian Public Administration
909			_a45566
999			_c45566 _d45566