| Changing organizational structure and organizational memory in primary care practices: a qualitative interview study. | |
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MedLine Citation:
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PMID: 22323670 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Organizational structure is built through dynamic processes which blend historical force and management decisions, as a part of a broader process of constructing organizational memory (OM). OM is considered to be one of the main competences leading to the organization's success. This study focuses on the impact of the Quality and Outcome Framework (QOF), which is a Pay-for-Performance scheme, on general practitioner (GP) practices in the UK. The study is based on semistructured interviews with four GP practices in the north of England involving 39 informants. The findings show that the way practices assigned different functions into specialized units, divisions or departments shows the degree of specialization in their organizational structures. More specialized unit arrangements, such as an IT division, particular chronic disease clinics or competence-based job distributions enhanced procedural memory development through enabling regular use of knowledge in specific context, which led to competence building. In turn, such competence at particular functions or jobs made it possible for the practices to achieve their goals more efficiently. This study concludes that organizational structure contributed strongly to the enhancement of OM, which in turn led to better organizational competence. |
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Authors:
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Mohammad Alyahya |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Health services management research : an official journal of the Association of University Programs in Health Administration / HSMC, AUPHA Volume: 25 ISSN: 1758-1044 ISO Abbreviation: Health Serv Manage Res Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-02-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8811549 Medline TA: Health Serv Manage Res Country: England |
Other Details:
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Languages: eng Pagination: 35-40 Citation Subset: H |
Affiliation:
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Jordan University of Science And Technology, Irbid, Jordan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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