Employee Dilemmas from Competing Organizational Objectives: Insights from Emergency Medical Services

57 Pages Posted: 13 Jul 2021

See all articles by Timothy Gubler

Timothy Gubler

Brigham Young University

Haibo Liu

University of California Riverside

Alexandru Roman

University of California, Riverside (UCR)

Date Written: June 21, 2021

Abstract

Organizations face unique challenges when simultaneously pursuing conflicting organization-level objectives. We study how frontline employees deal with competing financial and social objectives within the context of Emergency Medical Services. Using data from 31 US states, we find that even in the absence of direct financial incentives, emergency crews are responsive to the financial objective of their agencies by providing differential service to patients based on their ability to pay. Private insurance and Medicare patients receive more procedures (6.1% and 1.9%) and have longer transport times (5.3% and 4.0%) than Medicaid patients after controlling for call and patient characteristics. Importantly, we also find evidence suggesting that EMS crews vacillate between the financial and social objectives between calls, depending on the relative salience of the objective.

Note: Funding: None to declare.

Declaration of Interests: None to declare.

Keywords: Multiple objectives, incentives, goal conflict, healthcare management, healthcare inequity

Suggested Citation

Gubler, Timothy and Liu, Haibo and Roman, Alexandru, Employee Dilemmas from Competing Organizational Objectives: Insights from Emergency Medical Services (June 21, 2021). Available at SSRN: https://ssrn.com/abstract=3871392 or http://dx.doi.org/10.2139/ssrn.3871392

Timothy Gubler (Contact Author)

Brigham Young University ( email )

Provo, UT 84602
United States

Haibo Liu

University of California Riverside ( email )

Riverside, CA 92521
United States

HOME PAGE: http://soba.ucr.edu/directory/faculty.html?netid=haiboliu

Alexandru Roman

University of California, Riverside (UCR) ( email )

900 University Avenue
Riverside, CA 92521
United States

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