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Managing in the context of healthcare's escalating technology and evolving culture

Dawn E. Bowden (Healthcare Policy & Economics, Johnson & Johnson, Highlands Ranch, Colorado, USA)
Stanley J. Smits (Department of Managerial Sciences, Robinson College of Business, Georgia State University, Atlanta, Georgia, USA)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 18 May 2012

1463

Abstract

Purpose

As healthcare has become more scientifically based and far more sophisticated in terms of technology, it has become more fragmented in terms of care‐giving, and less personal. The purpose of this paper is to discuss the challenging task of leading and managing in the gap between the existing and emerging cultures of healthcare.

Design/methodology/approach

This paper considers the literature on culture, how it exists at many levels and in multiple forms, and the impacts it has on the US healthcare system. Further, the paper explores foundations of the current healthcare culture and attempts to forecast features of the emerging culture, incorporating examples of advances in scientific knowledge and technology.

Findings

System change will continue to be problematic until leaders and change agents find ways to operate effectively in the gap between the existing cultural tenets and those emerging as the result of scientific and technological advancements.

Originality/value

Punctuated equilibrium theory serves as a main tenet for describing how changes will continue to push the USA towards a cultural tipping point. This paper contends that leaders and managers can succeed only by understanding and respecting both cultures and calls for improved theory development and research to help find creative ways to advance the new culture without trampling the old.

Keywords

Citation

Bowden, D.E. and Smits, S.J. (2012), "Managing in the context of healthcare's escalating technology and evolving culture", Journal of Health Organization and Management, Vol. 26 No. 2, pp. 149-157. https://doi.org/10.1108/14777261211230826

Publisher

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Emerald Group Publishing Limited

Copyright © 2012, Emerald Group Publishing Limited

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