University of California | School of Social Welfare | Center for Social Services Research | Berkeley, CA 90720 | www.mackcenter.org


 

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Innovation in Professional Organizations

Abstract

To determine whether innovation correlates of bureaucratic organizations apply to medical organizations, 30 multispecialty fee-for-service medical groups from a midwestern state were studied by interview & questionnaire in 1975. Modal group practical size was 15 physicians. Innovation is seen in 4 phases: informal discussion, formal proposal, adoption, & implementation. Innovation was assessed by asking respondents to rate their organization's innovation phase with respect to 87 identified medical innovations. Structural, attitudinal, & affective response correlates were measured. Results indicated that formal hierarchical decision making & affective responses were significantly related to various stages in the innovation process. Participation by all physicians in strategic decisions was negatively related to each phase in the innovation process. By contrast, organization size, complexity, formalization, & person specialization were not related to innovation activity. It is speculated that minimal bureaucratization may be necessary to move the innovation process in differentiated professional groups. 3 Tables. Modified HA.

Journal

Administration in Social Work

(1978)
vol2 no4 pages411-424

Categories

  1. Nonprofit Service Sectors  
  2. Health