1. The Limits of Loose Coupling: a Case Study in Tuberculosis Clinics.
- Author
-
White, Tabi
- Subjects
ORGANIZATION ,TUBERCULOSIS ,ORGANIZATIONAL structure ,DECISION making - Abstract
The benefits and costs of organizational coupling have been actively debated for more than the last thirty years. While debate remains ongoing to the value of coupling structures, few studies have examined the processes that develop from units that are jeopardized by the coupling structures of organizations. This study compares two tuberculosis clinics in San Francisco that operated under a singular organization, but due to different internal organizational structures and interpretations of operative goals, negotiated their relationships to the parent organization with different techniques. As budgetary pressures forced the central hospital to appraise the value of these clinics, commitment to endogenous organizational cultures constrained and guided the decision -making processes that led to the net result of one clinic closing from extenuated decoupling and the other in an iteration of its previous form. [ABSTRACT FROM AUTHOR]
- Published
- 2008