Overall, the critical task of organizational theory is to provide the managerial personnel with a set of models, strategies, and methods on how to effectively organize the internal structure of a company, fix the existing problems, and manage them more effectively. In health care, organizational theory is used by the executives of hospitals and other health care organizations to improve their functioning and the quality of services provided to the patients.
Every theory of organizations has its strong and weak sides. From this, it could be inferred that it is impossible to use only one specific approach to govern any company efficiently. As Dixit and Sambasivan (2020) put it, the integrated implementation of several theories strongly positively affects a company’s outcomes and its design and structure. In their study, Dixit and Sambasivan (2020) discuss such theories as Resource Dependence Theory, Institutional Theory, Population Ecology Theory, and Transaction Cost Economics. However, the choice of the theories should not be limited to these four ones. Instead, the choice should be made according to the needs and peculiarities of every single healthcare center or organization.
A private hospital is a commercial organization because patients pay for the services. Hence, the administration should refer to the Transaction Cost Economics to calculate such transaction costs as, for example, costs for management and advertisement. At the same time, the managerial personnel should not forget to pay attention to the doctors, nurses, and other employees who work in this hospital. This way, the administration could use insights provided by the Social Network Theory and Agency Theory to establish efficient relations with the subordinates and keep them motivated to work hard. It is also necessary to consider Institutional Theory because it helps to understand how to meet the target audience’s expectations. This brief example demonstrates that every theory is essential despite its disadvantages and, hence, effective managers should apply several theories instead of a single one.
References
Dixit, S. K., & Sambasivan, M. (2020). An Integrated Multitheoretical Perspective of Public Healthcare Services Delivery Organizations. Public Organization Review, 20(2), 319-335.
Gauld R. (2018) Principal-Agent Theory of Organizations. In: Farazmand A. (eds) Global Encyclopedia of Public Administration, Public Policy, and Governance (pp. 4914 – 4918). Springer.
Long, K. M., McDermott, F., & Meadows, G. N. (2018). Being pragmatic about healthcare complexity: our experiences applying complexity theory and pragmatism to health services research. BMC medicine, 16(1), 1-9.
Mick, S. S. F., & Shay, P. D. (2014). A primer of organization theories in health care. In S. S. F. Mick & P. D. Shay (Eds.), Advances in health care organization theory (2nd ed., pp. 25 – 51). John Wiley & Sons.
Nienhuser, W. (2008). Resource dependence theory-How well does explain the behavior of organizations? Management Revue, 19(1), 9-32.