Abstract
The performance of health service organizations is affected by the existence of multiple, often conflicting performance goals, and by various social-psychological processes that characterize the particular structure of the organization. This paper proposes a systematic, management-based methodology for identifying those “best” values for a set of social-psychological processes that enhance achievement of a set of organizational performance goals. The approach is illustrated with data from selected county health departments in North Carolina.
Similar content being viewed by others
References
Conner, P. E., and Bloomfield, S. D., A goal approach to organizational design.Prescriptive Models of Organizations (P. C. Nystrom and W. C. Starbuck, eds), North-Holland/TIMS Studies in the Management Sciences, Amsterdam, 1977, pp. 99–110.
Friedson, E.,Doctoring Together: A Study of Professional Social Control. Elsevier, New York, 1975.
Flood, A. B., and Scott, W. R., Professional power and professional effectiveness: The power of the surgical staff and quality of surgical care in hospitals.J. Health Soc. Behav. 19:240–254, 1978.
Rhee, S., Factors determining the quality of physician performance in patient care.Med. Care 14:733–750, 1976.
Rhee, S., Relative importance of physicians' personal and situational characteristics for the quality of patient care.J. Health Soc. Behav. 18:10–15, 1977.
Palmer, R. H., and Reilly, M. C., Individual and institutional variables which may serve as indicators of quality of medical care.Med. Care 17:693–717, 1979.
Mintzberg, H.,The Structuring of Organizations Prentice-Hall, Englewood Cliffs, New Jersey, 1979.
Stoelwinder, J. V., and Charns, M. P., The task field model of organization analysis and design.Human Relations 34:743–762, 1981.
Parker, B. R., and Kaluzny, A. D., Design planning to meet goals in human service organizations.Human Systems Mgmt. 3:77–90, 1982.
Mohr, L. D., The concept of organizational goal.Amer. Political Sci. Rev. 67:470–481, 1973.
Perrow, C.Complex Organizations: A Critical Essay (2nd ed.), Scott Foresman, Glenview, Illinois, 1979.
Delbecq, A. L., Van de Ven, A. H., and Gustafson, D. H.Group Techniques for Program Planning Scott, Foresman, Glenview, Illinois, 1975.
Van de Ven, A., and Ferry, D.Measuring and Assessing Organizations Wiley Interscience, New York, 1980.
Likert, R.,New Patterns of Management McGraw-Hill, New York, 1961.
Likert, R.,The Human Organization McGraw-Hill, New York, 1967.
Franklin, J. L., Down the organization: Influence processes across levels of hierarchy.Admin. Sci. Q. 20:153–164, 1975.
Franklin, J. L., Relations among four social psychological aspects of organizations.Admin. Sci. Q. 20:422–433, 1975.
Bowers, D. G., and Seashore, S., Predicting organizational effectiveness with a four factor theory of leadership.Admin. Sci. Q. 11:238–263, 1966.
Hoffman, P. J., The paramorphic representation of clinical judgment.Psychol. Bull. 57:116–131, 1960.
Parker, B. R., and Skinner, B. D., Improving the selection of family medicine residents through development of multi-dimensional policy models.Health Policy Educ. 3:229–247, 1982.
Hoffman, P., Slovic, P., and Rorer, L., An analysis of variance model for the assessment of configural cue utilizational in clinical judgment.Psychol. Bull. 69:338–349, 1968.
Slovic, P., and Lichtenstein, S., Comparison of Bayesian and regression approaches to the study of information processing in judgment.Org. Behav. Human Perf. 6:649–744, 1971.
Tichy, N. M., and Hornstein, H. A., Collaborative organization model building.Organizational Assessment (E. Lawler, et al., eds.), Wiley Interscience, New York, 1980, pp. 300–316.
Green, P. E., and Srinivasan, V., Conjoint analysis in consumer research: Issues and outlook.J. Consumer Res. 5:103–123, 1978.
Montgomery, D. B., Wittink, D. R., and Glaze, T., A predictive test of individual level concept evaluation and trade-off analysis. Research Paper No. 415, Graduate School of Business, Stanford University, 1977.
Parker, B. R., and Srinivasan, V., A consumer preference approach to the planning of rural primary health-care facilities.Operations Res. 24:991–1025, 1976.
Gross, E., The definition of organizational goals.Br. J. Soc. 20:277–294, 1969.
Cohon, J.,Multiobjective Programming and Planning Academic Press, New York, 1978.
Ignizio, J. P.,Linear Programming in Single- and Multiple-Objective Systems Prentice-Hall, Englewood Cliffs, New Jersey, 1982.
Zeleny, M.,Multiple Criteria Decision Making McGraw-Hill, New York, 1982.
Zeleny, M., The pros and cons of goal programming (technical note).Comput. Operations Res. 8:357–359, 1981.
Ignizio, J. P.,Goal Programming and Extensions Lexington Books, Lexington, Massachusetts, 1976.
North Carolina Division of Health Services,N.C. Health Statistics Guide, Raleigh, North Carolina, 1978.
Scriven, M., The methodology of evaluation.Perspectives of Curriculum Evaluation, American Educational Research Association Monograph Series on Curriculum Evaluation, Rand McNally, Chicago, 1967, pp. 39–83.
Schermerhorn, J. R., Guidelines for change in health care organizations.Health Care Mgmt. Rev. 6:9–16, 1981.
Shocker, A. D., and Srinivasan, V., Multiattribute approaches for product concept evaluation and generation: A critical review.J. Mktg. Res. 16:159–180, 1979.
Stimson, D. H., Utility measurement in public health decision making.Mgmt. Sci. 16:B17-B30, 1969.
Ignizio, J. P., An introduction to goal programming with applications in urban systems.Comput. Environ. Urban Systems 5:15–33, 1980.
Neely, W. P., Sellers, J., and North, R. M., Goal programming priority sensitivity analysis: An application in natural resource decision making processes.Interfaces 10:83–88, 1980.
Mintzberg, H., The manager's job: Folklore and fact.Harvard Bus. Rev. 53:49–61, 1975.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Parker, B.R., Kaluzny, A.D. & Chae, Y.M. Design planning to meet goals in health service organizations. J Med Syst 7, 521–537 (1983). https://doi.org/10.1007/BF00995182
Issue Date:
DOI: https://doi.org/10.1007/BF00995182