Resource Dependence as a Mechanism for Survival: The Case of the Mater Misericordiae University Hospital

This paper examines the evolution of the largest university teaching hospital in Ireland, from its origins in 1861 to the present day, drawing upon the lens of resource dependence theory as proposed by Pfeffer and Salancik (1978). Analysing the mission, resources and governance of the hospital, three distinct eras are identified, self-financing, transitionary and that of government/non-profit partnership. The paper demonstrates that despite traumatic events and financial crises this hospital has survived through evolving resource dependence and has preserved its voluntary status notwithstanding its current collaborative partnership with the Irish State.