An Institutional Sociology Perspective of the Implementation of Activity Based Costing by Spanish Health Care Institutions
University of Navarra, IESE Business School
IESE Business School Working Paper No. 582
According to institutional sociology, hospitals will respond to external environmental pressures and adopt Activity-Based-Costing (ABC). This theory overemphasizes conformity and fails to consider the advantages of organizational non-conformance. A conflict of interests between physicians and management leads to physician resistance to accepting ABC. This paper investigates the Spanish government's response to this resistance by creating new public foundation hospitals, and involves a case study of the Alcorcon foundation hospital. Population ecology is offered as an explanation for the emergence of new entities as a result of inert existing entities' resistance to reform.
Number of Pages in PDF File: 24
Keywords: Activity based costing, ABC implementation, Helath care,Institutional sociology, Spanish health care sector
Date posted: March 1, 2006