Pursuing organizational and cultural change

Michael A. Geheb, Mark L. Penkhus, Peter Kohler, Garson Arthur, Jonathan F. Saxton, Michael M E Johns

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The academic physician, academic medicine, and the health professions in general are in the midst of an extended period of organizational and professional turbulence. Beginning with the explosive growth of managed care in the 1980s, the relatively closed, professionally self-regulated health services sector has been pushed into a more classically competitive marketplace. The 1990s brought additional impetus for change with shifting public policy, changing demographics, increasing consumerism, and the growing influence of information technologies. Further, the turn of the century brought renewed public concern with deficiencies and inconsistencies in the quality of health care services. The health care sector is clearly laboring under the strains of this changing and demanding environment. The new marketplace is squeezing the financial resources and compensation available to health professionals and organizations. Societal needs, expectations, and aspirations for the health care system have changed and are growing. Academic health centers (AHCs), in particular, continue to face great challenges in adapting their multiple service and academic missions to changing societal, financial, and service requirements. Academic health centers have adopted measures to improve service, cut costs, and increase productivity. They are learning how to do more with less. They have also worked to develop new capabilities and revenue streams in an attempt to shore-up strained academic and clinical resources. These efforts increase the service and performance expectations for faculty and staff who find it increasingly difficult to pursue research and teaching goals.

Original languageEnglish (US)
Title of host publicationThe Academic Health Center Leadership and Performance
PublisherCambridge University Press
Pages119-187
Number of pages69
ISBN (Print)9780511543487, 0521827183, 9780521827188
DOIs
StatePublished - Jan 1 2005

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Organizational Innovation
Health Services
Health
Health Occupations
Health Care Sector
Quality of Health Care
Managed Care Programs
Public Policy
Compensation and Redress
Teaching
Medicine
Demography
Learning
Technology
Delivery of Health Care
Physicians
Efficiency
Costs and Cost Analysis
Growth
Research

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Geheb, M. A., Penkhus, M. L., Kohler, P., Arthur, G., Saxton, J. F., & Johns, M. M. E. (2005). Pursuing organizational and cultural change. In The Academic Health Center Leadership and Performance (pp. 119-187). Cambridge University Press. https://doi.org/10.1017/CBO9780511543487

Pursuing organizational and cultural change. / Geheb, Michael A.; Penkhus, Mark L.; Kohler, Peter; Arthur, Garson; Saxton, Jonathan F.; Johns, Michael M E.

The Academic Health Center Leadership and Performance. Cambridge University Press, 2005. p. 119-187.

Research output: Chapter in Book/Report/Conference proceedingChapter

Geheb, MA, Penkhus, ML, Kohler, P, Arthur, G, Saxton, JF & Johns, MME 2005, Pursuing organizational and cultural change. in The Academic Health Center Leadership and Performance. Cambridge University Press, pp. 119-187. https://doi.org/10.1017/CBO9780511543487
Geheb MA, Penkhus ML, Kohler P, Arthur G, Saxton JF, Johns MME. Pursuing organizational and cultural change. In The Academic Health Center Leadership and Performance. Cambridge University Press. 2005. p. 119-187 https://doi.org/10.1017/CBO9780511543487
Geheb, Michael A. ; Penkhus, Mark L. ; Kohler, Peter ; Arthur, Garson ; Saxton, Jonathan F. ; Johns, Michael M E. / Pursuing organizational and cultural change. The Academic Health Center Leadership and Performance. Cambridge University Press, 2005. pp. 119-187
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