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Participation as a Complicating Mechanism: The Effect of Clinical Professional and Middle Manager Participation on Hospital Performance

Ashmos, Donde P.; Huonker, John W.; McDaniel, Reuben R. Jr.

Health Care Management Review: October 1998 - Volume 23 - Issue 4 - p 7-20
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One way hospitals complicate themselves is by increasing the participation of clinical professionals and middle managers in making strategic decisions. Using a survey methodology this article investigates the relationships between the participation of clinical professionals (MDs and RNs) and middle managers with hospital costs, as well as the possible moderating effect of strategic complexity.

Donde P. Ashmos, Ph.D., is an associate professor of management, The University of Texas at San Antonio.

John W. Huonker, Ph.D., is assistant professor of management, College of Business, The University of Texas at San Antonio.

Reuben R. McDaniel, Jr., Ed.D., is the Charles and Elizabeth Prothro Regents Chair in Health Care Management and a professor of management science and information systems, The University of Texas at Austin.

The authors are listed in alphabetical order and the order of listing does not reflect the contribution to this research. A previous version of this article was presented at the Academy of Management National Meeting, 1994. This study was supported in part by a summer research grant from the Graduate School of Business, The University of Texas at Austin and by a summer research grant from the University of Texas at San Antonio. The assistance of the Texas Hospital Association in data collection is greatly appreciated.

Copyright © 1998 by Aspen Publishers, Inc.