Structural and Political Models of Analysis of the Introduction of an Innovation in Organizations: The Case of the Change in the Method of Payment of Physicians in Long-Term Care Hospitals
Health Services Management ResearchPublished 1 July 1991
François Champagne, Jean‐Louis Denis, Raynald Pineault, André‐Pierre Contandriopoulos
Citations35
SJR quartileQ2
SJR score0.69
SNIP0.72
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TL;DR
This article presents the results of a study on the introduction of sessional fees remuneration for physicians working in Quebec long-term care hospitals, finding strong support for the political model and moderateSupport for the structural model.
Abstract
This article presents the results of a study on the introduction of sessional fees remuneration for physicians working in Quebec long-term care hospitals. More generally, this research was concerned with the determinants of the capacity of an organization to implement an innovation. Both a political and a structural model of analysis were empirically probed. We found strong support for the political model and moderate support for the structural model. This article contributes to the understanding of the relative contribution of structural and political determinants in the implementation of changes in organizations.
Keywords
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