Regionalizing Healthcare in Alberta: Legislated Change, Uncertainty and Loose Coupling

16 Pages Posted: 18 Mar 2004

See all articles by C. R. Hinings

C. R. Hinings

Independent

Ann Casebeer

University of Alberta - Faculty of Medicine

Trish Reay

University of Alberta - Department of Strategic Management and Organization

Karen Golden-Biddle

Boston University - Questrom School of Business

Amy Pablo

University of Calgary - Haskayne School of Business

Royston Greenwood

University of Alberta - Department of Strategic Management and Organization

Abstract

In this paper, we examine the re-organizing attempts of the Alberta government in healthcare from the viewpoint of uncertainty, loose coupling and the frequently unrecognized consequences of such change. We suggest that our understanding of change processes can be enhanced by conceptualizing the impact of task and environmental uncertainty through the nature of coupling between organizational elements. Based on our findings, we propose that the greater the degree of loose coupling in an organization, the more difficult change is likely to be, and the more likely the occurrence of unanticipated consequences.

Suggested Citation

Hinings, C. R. and Casebeer, Ann and Reay, Trish and Golden-Biddle, Karen and Pablo, Amy and Greenwood, Royston, Regionalizing Healthcare in Alberta: Legislated Change, Uncertainty and Loose Coupling. Available at SSRN: https://ssrn.com/abstract=513361

Ann Casebeer

University of Alberta - Faculty of Medicine ( email )

Edmonton, Alberta
Canada

Trish Reay

University of Alberta - Department of Strategic Management and Organization ( email )

Edmonton, Alberta T6G 2R6
Canada
780-492-4246 (Phone)
780-492-3325 (Fax)

Karen Golden-Biddle

Boston University - Questrom School of Business ( email )

595 Commonwealth Avenue
Boston, MA MA 02215
United States

Amy Pablo

University of Calgary - Haskayne School of Business ( email )

2500 University Drive, NW
Calgary, Alberta T2N 1N4
Canada

Royston Greenwood

University of Alberta - Department of Strategic Management and Organization ( email )

Edmonton, Alberta T6G 2R6
Canada

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