What is meant by the notion that healthcare organizations have traditionally functioned more as collections of small, independent, businesses rather than as coherent organizations?
Usually, the health care model of the U.S. medical practice is traditional and dispersed other than coherent because it is characterized by independent private practitioners who are either working sole or in small groups. The small businesses cannot be coherent because the traditional model is in competition with larger practices organizations (Brunsson & Olsen, 2018). In addition, the small businesses are also in competition with networks that are structured along a more integrated model of health care delivery.
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In what ways has communication reinforced this dynamic?
Organizational communication is very critical particularly for the growth of small businesses. In small businesses communication is mainly downward from the managers to the lower-level staff employees. This is because the leaders have the responsibility of conveying the mission, vision, practices, goals, and procedures of the organization. Upward communication, on the other hand, is from junior level employees to the management team. The style of communication is equally important for a small business because it informs of various problems and services in the organization. Similarly, health care organizations need to know how they are fairing on compared to bigger organizations. Besides, the fact that communication has been made easy by technologies, makes it easy for health care organizations to prefer independence other than coherence.
Have you experienced aspects of this in organizations with which you’ve been affiliated?
To some extent I have experienced aspects of this in n organization I was once affiliated. The manager had a team of employees who always informed him of how bigger organizations with which they were competing are fairing on. Also, the organization was characterized by fewer employees which made communication either downward or upward.
Reference
Brunsson, N., & Olsen, J. P. (2018). The Reforming organization: making sense of administrative change . Routledge.
