Impact of Institutional and Technical Forces on Internal OrganizationalRestructuring: An Examination of the Motivators, Content, and Outcomes of Hospital Reengineering Programs. Abstract, Executive Summary and Final Report

摘要

This research explores and examines why organizations adopt reengineering, arelative new management renewal strategy; what external and internal factors influence what they implement; and what the competitive outcomes result. This research combines both institutional and technical perspectives and examines reengineering efforts in U.S. acute care hospitals. A national survey on restructuring and reengineering collected detailed data from approximately 875 hospitals. The survey data were combined with financial, activity, and area data to allow empirical analyses. First, an event history analysis explores the motivators for implementation. Second, a Tobit analysis examines the infulences to the content of change strategy. Finally, first-differenced OLS analyses investigate the competitive outcomes or reengineering. My findings suggest that institutional and technical factors affect both the likelihood of adoption and content of reengineering.