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Health-care processes - A Study of Medical Problem-solving in the Swedish Health-care Organisation

Holmberg, Leif LU (1997) In Lund Studies in Economics and Management
Abstract (Swedish)
Popular Abstract in Swedish

Studien avser medicinsk problemlösning i sitt organisatoriska sammanhang i den svenska sjukvårdsorganisationen. Det huvudsakliga syftet är att visa hur olika typer av medicinsk problemlösning påverkas av organisationsstrukturen. För att åstadkomma detta utvecklas en typologi för medicinska problemlösningsprocesser huvudsakligen baserad på skillnader i den medicinska teknologin och på variationer i uppfattningen av det medicinska problemet. Fyra huvudsakliga processer definieras och demonstreras med exempel från olika sjukdomar. Vidare definieras relevanta aspekter på organisationsstruktur och appliceras på ett empiriskt material (från sjukhus och vårdcentraler) för att exemplifiera hur den... (More)
Popular Abstract in Swedish

Studien avser medicinsk problemlösning i sitt organisatoriska sammanhang i den svenska sjukvårdsorganisationen. Det huvudsakliga syftet är att visa hur olika typer av medicinsk problemlösning påverkas av organisationsstrukturen. För att åstadkomma detta utvecklas en typologi för medicinska problemlösningsprocesser huvudsakligen baserad på skillnader i den medicinska teknologin och på variationer i uppfattningen av det medicinska problemet. Fyra huvudsakliga processer definieras och demonstreras med exempel från olika sjukdomar. Vidare definieras relevanta aspekter på organisationsstruktur och appliceras på ett empiriskt material (från sjukhus och vårdcentraler) för att exemplifiera hur den nuvarande strukturen på olika organisatoriska nivåer påverkar de olika problemlösningsprocesserna. Studiens huvudsakliga resultat är en illustration av hur olika sätt att organisera på de olika organisatoriska nivåerna sammantaget gör att problemlösningsprocesserna begränsas och förhindras att utveckla bättre villkor. Olika problemlösningsprocesser stör dessutom varandra när de försiggår inom samma organisationsstruktur. Om man vill förbättra effektiviteten bör därför de olika problemlösningsprocesserna t.ex. ha olika former för integration, olika principer för aktivitetsgruppering och värderas utifrån olika kriteria. (Less)
Abstract
This study is about medical problem-solving within its organisational context, the Swedish health-care organisation. The main purpose is to demonstrate how different types of medical problem-solving are affected by the structure of the health-care organisation. This involves the construction of a typology of medical problem-solving processes, and it is argued that the main characteristics of these processes are that they vary according to differences in medical technology and differences in the obscurity of the perceived medical problem. From this, four main processes are defined and demonstrated through empirical examples of the handling of illnesses. Furthermore, relevant aspects of structure are defined, and applied to empirical... (More)
This study is about medical problem-solving within its organisational context, the Swedish health-care organisation. The main purpose is to demonstrate how different types of medical problem-solving are affected by the structure of the health-care organisation. This involves the construction of a typology of medical problem-solving processes, and it is argued that the main characteristics of these processes are that they vary according to differences in medical technology and differences in the obscurity of the perceived medical problem. From this, four main processes are defined and demonstrated through empirical examples of the handling of illnesses. Furthermore, relevant aspects of structure are defined, and applied to empirical material (from hospitals and health-care centres) as examples to demonstrate how the present structure, at different organisational levels, influences the different medical problem-solving processes at the "work-floor" level. The main result of this study is an illustration of how the different ways of organising at different levels work together to restrict the problem-solving processes and deprive them of suitable conditions. When different problem-solving processes take place in the same structural setting they disturb each other. Under norms of efficiency the processes therefore need e.g. to have different integrative mechanisms, different principles for grouping of activities, and to be evaluated according to different criteria. (Less)
Please use this url to cite or link to this publication:
author
opponent
  • Prof. Borgenhammar, Edgar, Nordiska Hälsovårdshögskolan, Göteborg
organization
publishing date
type
Thesis
publication status
published
subject
keywords
Organizational science, resource control, medical technology, Problem-solving, health-care organization, Organisationsteori
in
Lund Studies in Economics and Management
pages
228 pages
publisher
Lund University Press
defense location
Carolinasalen, Univ.
defense date
1997-02-27 10:51
external identifiers
  • other:ISRN: LUSADG/SAEK-97/1031SE
ISSN
0284-5075
ISBN
91-7966-405-9
language
English
LU publication?
yes
id
04a6629a-d289-4658-b13a-b41061e9a367 (old id 18141)
date added to LUP
2007-05-24 11:17:49
date last changed
2016-09-19 08:44:57
@phdthesis{04a6629a-d289-4658-b13a-b41061e9a367,
  abstract     = {This study is about medical problem-solving within its organisational context, the Swedish health-care organisation. The main purpose is to demonstrate how different types of medical problem-solving are affected by the structure of the health-care organisation. This involves the construction of a typology of medical problem-solving processes, and it is argued that the main characteristics of these processes are that they vary according to differences in medical technology and differences in the obscurity of the perceived medical problem. From this, four main processes are defined and demonstrated through empirical examples of the handling of illnesses. Furthermore, relevant aspects of structure are defined, and applied to empirical material (from hospitals and health-care centres) as examples to demonstrate how the present structure, at different organisational levels, influences the different medical problem-solving processes at the "work-floor" level. The main result of this study is an illustration of how the different ways of organising at different levels work together to restrict the problem-solving processes and deprive them of suitable conditions. When different problem-solving processes take place in the same structural setting they disturb each other. Under norms of efficiency the processes therefore need e.g. to have different integrative mechanisms, different principles for grouping of activities, and to be evaluated according to different criteria.},
  author       = {Holmberg, Leif},
  isbn         = {91-7966-405-9},
  issn         = {0284-5075},
  keyword      = {Organizational science,resource control,medical technology,Problem-solving,health-care organization,Organisationsteori},
  language     = {eng},
  pages        = {228},
  publisher    = {Lund University Press},
  school       = {Lund University},
  series       = {Lund Studies in Economics and Management},
  title        = {Health-care processes - A Study of Medical Problem-solving in the Swedish Health-care Organisation},
  year         = {1997},
}