An Integrated Multitheoretical Perspective of Public Healthcare Services Delivery Organizations

This study seeks to create an integrated multitheoretical model of public healthcare services delivery organizations. A literature review of selected organization theories and their relevance to healthcare was conducted. By illuminating the aspects of control over resources, isomorphism, adaptation to the changing environment and contracts between parties based on the key elements of the resource-dependence theory, institutional theory, population ecology and transaction-cost economics theory, an integrated multitheoretical model of a public healthcare services delivery organization has been presented. There is a need for empirically testing the model proposed by this study.

     

Collaboration outcomes in a public sector: impact of governance,leadership, interdependence and relational capital

Collaboration between public agencies is critical to address social issues effectively. The main objective of this research was to identify the factors that lead to successful achievement of desired collaboration outcomes that could eventually lead to societal outcomes. The factors identified were: transformational leadership, governance, interdependence, and relational capital. An integrated framework was developed based on collaboration governance framework (CGF) of Ansell and Gash (J Public Adm Res Theory 18:543–571, 2008). The CGF framework has integrated the following four broad variables that are responsible for achieving the desired collaboration outcomes: starting conditions, institutional design, leadership, and collaborative process. The study was conducted in Malaysia by sending questionnaires to 500 officers in various ministries who were involved in planning, formulating, and implementing public policies. The main findings of this study are: (1) transformational leadership influences governance, interdependence, relational capital, and collaboration outcomes; (2) governance has impact on relational capital, interdependence, and collaboration outcomes; (3) relational capital and interdependence result in positive collaboration outcomes; (4) dimensions of governance are inter-related; and (5) interdependence and relational capital are strongly correlated. This research adds significantly to the literature on collaborative governance. The implications and limitations of the study are discussed.