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Reengineering: deja vu all over again
Health Care Management Review
|August 14, 1998
Summary
Hospital reengineering promises performance improvements but lacks supporting evidence. This review critiques the literature, addressing the challenge for executives adopting unproven management techniques.
Area of Science:
- Healthcare Management
- Organizational Studies
- Health Services Research
Background:
- Hospitals are increasingly interested in reengineering for performance enhancement.
- Reengineering claims include reduced costs, improved work processes, productivity, and patient care.
Purpose of the Study:
- To critique the existing literature on hospital reengineering.
- To address the decision-making challenges for hospital executives regarding new management techniques without proven efficacy.
Main Methods:
- Literature review of healthcare studies on reengineering.
- Critical analysis of claims versus evidence.
Main Results:
- A significant lack of empirical evidence supports the purported benefits of hospital reengineering.
- Existing literature often promotes reengineering without substantiating its effectiveness.
Conclusions:
- Hospital executives face a dilemma when considering reengineering due to the absence of proof of its efficacy.
- Further research is needed to validate the claims and outcomes associated with hospital reengineering initiatives.