The effect of control strategies on professional-hospital conflict : can participative management reduce the level of conflict between the hospital management and the clinical professionals?

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The effect of control strategies on professional-hospital conflict : can participative management reduce the level of conflict between the hospital management and the clinical professionals?

 

Author: Cham, Wai-man
Title: The effect of control strategies on professional-hospital conflict : can participative management reduce the level of conflict between the hospital management and the clinical professionals?
Degree: M.Sc.
Year: 1995
Subject: Hospitals -- China -- Hong Kong -- Administration
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Pages: v, 107 leaves ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1202779
URI: http://theses.lib.polyu.edu.hk/handle/200/3232
Abstract: Clinical professionals who were full-time salaried employees in nonprofit public hospital always experience conflicts with the hospital management. With the changing environment in the health care setting, the already existing Professional-hospital conflicts are intensified as the interactions and interdependencies of the professionals with the management are increasing. The hospital management then tries to incorporate some control strategies on the professionals so as to reduce their conflict over the management. This research is an exploratory study in Hong Kong studying the Professional-hospital relationship. This paper examines the conflict level and conflict profile of the clinical professionals with the hospital management in a general acute public hospital in Hong Kong. The impact of the hospital control strategies (self-control characteristics by age, sex and seniority; economic control strategies by salary and promotion prospect; and administrative control strategy by participation) on the Professional-hospital conflict and satisfaction are explored. The results reveal that the level of Professional-hospital conflict in an ex-subvented hospital in Hong Kong is relatively high. There is no unique profile of conflict among the doctors, nurses and allied health professionals. Older professionals are more satisfied and they perceive less conflict over the management. Female professionals are more happy than the male professionals that they face less conflicts. The senior staff perceive greater conflicts and the higher salaried staff are less satisfied. The availability of promotion prospect serves as an economic control to reduce the exit intention that professionals perceive less conflicts and greater satisfaction. Participation is found to have a positive impact on the reduction of professional-hospital conflict. Consistent participation is said to be a more effective lever to reduce conflict over clinical autonomy than the fluid participation. It is proved that administrative control by means of participation can improve the Professional-hospital relationship by reduction of conflict. This implies that the hospital management can manipulate the tool of participation to control the clinical professionals. With the growing trend of clinical professionals into management, the management tool of "Administrative Absorption of Conflict" appears to be useful to the hospital management in dealing with the changing environment in the health care setting.

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