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Effective cooperation influencing performance: a study in Dutch hospitals
A H J Klopper-Kes1, N Meerdink, C P M Wilderom
1Faculty Management and Governance, University of Twente, Enschede, The Netherlands. hannekeklopper@hotmail.com
Summary
Effective physician-manager cooperation is key to improving hospital performance. Addressing common goals, interdependence, authority support, and respecting the medical domain can enhance this collaboration and boost quality initiatives.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Intergroup Relations
Background:
- Physician-manager cooperation significantly impacts hospital performance.
- Understanding the dynamics of this relationship is crucial for quality improvement initiatives.
Purpose of the Study:
- To explore the cooperation between physicians and managers.
- To identify factors influencing this cooperation and its effect on hospital performance.
Main Methods:
- Qualitative study involving in-depth interviews.
- Participants included 30 physicians and managers from five Dutch general hospitals.
- Data analysis structured according to Allport's theory on intergroup conflict.
Main Results:
- The effectiveness of physician-manager cooperation is linked to the adoption of quality initiatives and overall hospital performance.
- Power dynamics, decision-making clarity, and interpersonal rapport influence cooperation effectiveness.
Conclusions:
- The physician-manager relationship can be viewed as an intergroup conflict.
- Facilitating conditions include common goals, interdependent tasks, authority support, and respect for the medical domain.
- Implementing these conditions can enhance intra-hospital cooperation and hospital performance.
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