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1 edition of Hospital mergers and psychological contracts found in the catalog.

Hospital mergers and psychological contracts

Richard Shield

Hospital mergers and psychological contracts

developing a critical realist research approach.

by Richard Shield

  • 163 Want to read
  • 19 Currently reading

Published by Manchester Metropolitan University, Business School in Manchester .
Written in English


Edition Notes

SeriesWorking paper / Manchester Metropolitan University Business School -- WP02/10, Working paper (Manchester Metropolitan University Business School) -- WP02/10.
ContributionsManchester Metropolitan University. Business School.
ID Numbers
Open LibraryOL15563828M

Research: Hospital mergers & acquisitions. In partnership with the Deloitte Center for Health Solutions, HFMA conducted a study of more than merger transactions between and to examine how M&A impacts a hospital's performance. Despite the prevalence of collaborative ventures among health care organizations, including mergers, alliances, and joint ventures, the majority of these ventures fail to significantly improve the overall performance of the organizations involved. There is a great deal of variation in the outcomes of collaborative ventures, but results from several studies indicate that key practices.

Zurück zum Zitat Cortvriend P: Change management of mergers: the impact on NHS staff and their psychological contracts. Health Serv Manage Res. , / CrossRefPubMed Cortvriend P: Change management of mergers: the impact on NHS staff and their psychological contracts.   Hospital mergers have a small, transient positive impact on staff job satisfaction in the year immediately before and after merger approval. Continuous staff support and management of staff expectations throughout a merger may help to increase staff job satisfaction during the challenging period of by: 4.

  Table 1 and Figure 1 provide the frequency of psychological contract breaches. The results indicate that % experienced at least one psychological contract breach during a merger or acquisition, and % (60 respondents) experienced four or more psychological contract breaches.   Two recent challenges to hospital-physician group mergers provide a number of factors and affirmative steps that merging parties and their counsel should consider during each stage of the merger.


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Hospital mergers and psychological contracts by Richard Shield Download PDF EPUB FB2

Research conducted in a merged NHS general hospital trust revealed that difficulties had occurred that might have been prevented by paying greater attention to certain HRM aspects of the merger, specifically aspects of the psychological contract.

This study indicated that hospital strategists need to take more care when considering mergers, particularly in respect of the psychological by: As we begin the era of health care reform, it is expected that there will be an acceleration of hospital mergers driven by the need for greater efficiency.

Larry Scanlon's book is timely, insightful, and instructive for leaders wanting to avoid the pitfalls of mergers and to create real value for the communities they serve/5(2).

Hospital mergers and psychological contracts Hospital mergers and psychological contracts Skinner, Denise; Saunders, Mark; Thornhill, Adrian National Health Service (NHS) hospitals have been merging to form large, hybrid (two or more culture) organizations.

The drivers for this have been many, not least the need to meet the. Hospital mergers and psychological contracts Developing a critical realist research approach.

By Richard Shield and Manchester Metropolitan University. Business School (United Kingdom) Abstract. Mergers and acquisitions are one effective means for developing coordinated systems of care that fuel innovation and drive value-based care.

Realignment is a direct response to the changing needs of communities, continuous financial pressures to reduce costs and. Hospital leaders consistently indicated in Hospital mergers and psychological contracts book that hospital mergers can result in substantial benefits, and their views are supported by our econometric analyses.

In structured interviews with this study’s authors, these leaders described several mechanisms through which mergers decreaseFile Size: KB. Psychological contracts differ from other types of contracts not only because of the innumerable elements they may contain but also because the employee (the contract taker) and the employer (the contract maker) may have differing expectations with respect to the employment relationship.

Few of these elements are likely to have been. Levinson defined psychological contract as an unwritten contract that literally means a mental contract between employer and employees without letter contained expectations (Levinson et al., ).

It was used to emphasize an internal and hidden expectations which preceded the establishment of File Size: KB. There’s nothing new about the concept of psychological contracts. As early asKeith Davis and John W.

Newsroom, authors of a book titled, Human Behavior at. merger or acquisition between and Source: Succeeding in Hospital & Health Systems M&A: Why So Many Deals Have Failed, and How to Succeed in the Future, Booz & Company, Ma Mergers and acquisitions (M&A) among hospitals and healthcare organizations have been on the rise for several years now.

Deals between hospitals, physicianFile Size: KB. "Mergers & Acquisitions For Dummies" is a tremendously well-written book that both M&A rookies and seasoned dealmakers would find useful. It covers the very basics, such as the difference between a merger and an acquisition, as well as the nuanced details of a transaction, including the LOI and purchase agreement/5(70).

Change management of mergers: The impact on NHS staff and their psychological contracts Article in Health Services Management Research 17(3) September with ReadsAuthor: Penny Cortvriend. Hospital mergers began in the UK in the late s to deal with underperformance.

Despite their prevalence, there is a lack of research on how such organizational changes affect the staff : Ka Keat Lim. While hospital mergers have been on the rise in recent years, they are not new to the landscape of health care. Studies have shown there is the potential for both positive and negative affects to patients/consumers, communities, and employees.

Arguments for supporting hospital mergers in the past have focused on efficiency and lowered costs due [ ]. The psychological contract is individual beliefs, shaped by the organization, regarding terms of an exchange between individuals and their organization.

(Rousseau, ) 4 1. Importance of the psychological contract • Re-emerged in s/90s as a framework for understanding how organizational changes may affect employee behaviourFile Size: 95KB. A merger of the hospitals in raised hospital prices in New Haven.

But there are also questions about whether such mergers can hurt the quality of care. Credit Author: Austin Frakt. 20 Best Practices for Healthcare Mergers & Acquisitions The current healthcare environment is creating one of the most active hospital and health system consolidation markets in decades.

Hospital administrators who create the mergers tell one side of the story. They believe that hospital consolidation improves efficiency, access to care, and quality of care, and may lower costs because in theory, the more care a hospital provides, the more efficient and less expensive it should become.

Hospital leaders consistently indicated in interviews that hospital mergers can result in substantial benefits, and their views are supported by our econometric analyses. In structured interviews with this study’s authors, these leaders described several mechanisms through which mergers decrease costs, including benefits of scale, reduced.

The Psychological Contract only really came back to prominence in the s as a result of the economic downturn which led to mergers, restructures and down-sizing while before that it was kept a low profile during the 70’s and 80’s. The initial headlines announcing mega-corporate mergers and acquisitions typically focus on Wall Street's appreciation for improved finances, less duplication of services and staff, the ability to gro.Hospital mergers and acquisitions When done well, M&A can achieve valuable outcomes With a rise in the number of mergers and acquisitions in the health care industry, we conducted a study with the Healthcare Financial Management Association to learn more about the factors that lead to increased value following a hospital merger or acquisition.Proponents of provider mergers, such as Bruce Vladeck, PhD, senior advisor at Nexera, a New York-based healthcare consulting firm, argued that consolidation on the delivery side is "a good thing.