Universität zu Köln

Ansmann, Lena, Vennedey, Vera, Hillen, Hendrik Ansgar, Stock, Stephanie, Kuntz, Ludwig, Pfaff, Holger ORCID: 0000-0001-9154-6575, Mannion, Russell ORCID: 0000-0002-0680-8049 and Hower, Kira Isabel ORCID: 0000-0002-7123-3296 (2021). Resource dependency and strategy in healthcare organizations during a time of scarce resources: evidence from the metropolitan area of cologne. J. Health Organ. Manag., 35 (9). S. 211 - 228. BINGLEY: EMERALD GROUP PUBLISHING LTD. ISSN 1758-7247

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Abstract

Purpose Healthcare systems are under pressure to improve their performance, while at the same time facing severe resource constraints, particularly workforce shortages. By applying resource-dependency-theory (RDT), we explore how healthcare organizations in different settings perceive pressure arising from uncertain access to resources and examine organizational strategies they deploy to secure resources. Design/methodology/approach A cross-sectional survey of key decision-makers in different healthcare settings in the metropolitan area of Cologne, Germany, on perceptions of pressure arising from the environment and respective strategies was conducted. For comparisons between settings radar charts, Kruskal-Wallis test and Fisher-Yates test were applied. Additionally, correlation analyses were conducted. Findings A sample of n = 237(13%) key informants participated and reported high pressure caused by bureaucracy, time constraints and recruiting qualified staff. Hospitals, inpatient and outpatient nursing care organizations felt most pressurized. As suggested by RDT, organizations in highly pressurized settings deployed the most vociferous strategies to secure resources, particularly in relation to personnel development. Originality/value This study is one of the few studies that focuses on the environment's impact on healthcare organizations across a variety of settings. RDT is a helpful theoretical foundation for understanding the environment's impact on organizational strategies. The substantial variations found between healthcare settings indicate that those settings potentially require specific strategies when seeking to address scarce resources and high demands. The results draw attention to the high level of pressure on healthcare organizations which presumably is passed down to managers, healthcare professionals, patients and relatives.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ansmann, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Vennedey, Vera UNSPECIFIED UNSPECIFIED UNSPECIFIED Hillen, Hendrik Ansgar UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuntz, Ludwig UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Mannion, Russell UNSPECIFIED orcid.org/0000-0002-0680-8049 UNSPECIFIED Hower, Kira Isabel UNSPECIFIED orcid.org/0000-0002-7123-3296 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-582330
DOI:	10.1108/JHOM-12-2020-0478
Journal or Publication Title:	J. Health Organ. Manag.
Volume:	35
Number:	9
Page Range:	S. 211 - 228
Date:	2021
Publisher:	EMERALD GROUP PUBLISHING LTD
Place of Publication:	BINGLEY
ISSN:	1758-7247
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language GERMANY; REFORMS; ENVIRONMENT Multiple languages Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58233