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An empirically-based model for clinician-managers' behavioural routines.

Jeffrey Braithwaite1

  • 1Centre for Clinical Governance Research in Health, Faculty of Medicine, University of New South Wales, Australia.

Journal of Health Organization and Management
|November 13, 2004
PubMed
Summary

This study presents an empirically-based model of hospital clinician-manager behavior, moving beyond theoretical ideals to describe actual practices. It details operational modes, pursuits, and relationships, offering a new framework for understanding this role.

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Medical Administration

Background:

  • Existing literature on hospital clinician-managers is often prescriptive and theoretical.
  • There is a lack of empirically-grounded models describing actual clinician-manager work.
  • Prior research tends to be normative (how they should manage) rather than descriptive (how they do manage).

Purpose of the Study:

  • To present a descriptive-analytic account of hospital clinician-manager work.
  • To introduce an empirically-based conceptual model of clinician-manager behavioral routines.
  • To balance prescriptive accounts with a posteriori observations.

Main Methods:

  • Based on multiple studies of clinician-manager activities.
  • Developed a conceptual model derived from empirical data.

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  • Utilized a descriptive-analytic approach.

    • Main Results:

    • Conjectured five major modes of operating for clinician-managers.
    • Identified four primary and five secondary pursuits.
    • Advanced accounts of work conduct, time frames, relationships, power, and control.

    Conclusions:

    • The study provides a novel, empirically-grounded model of hospital clinician-manager behavior.
    • Findings offer insights into the practical realities of clinician-management.
    • The research invites critical analysis and falsification to improve rigor.