Keywords
Decision making
health administration
health services administration
health administration
health services administration
How to Cite
Strategic Decision-Making in Healthcare Organizations. A literature review. (2020). Gerencia Y Políticas De Salud, 19, 1-16. https://doi.org/10.11144/Javeriana.rgps19.tdeo
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Abstract
Introduction. “Strategic decision-making is a vital process within organizations because of the multiple variables involved, the resources concerned and the impact on the medium and long term” (1). Objective. To identify the factors influencing the strategic decision-making process in health sector organizations. Materials and methods. A systematic review of the studies in the integrated search system and in the electronic databases (Pubmed, EMBASE, ScienceDirect, and Google Scholar) was done. The search was performed for empirical articles published in the last 10 years, without language restriction, and with full-text availability. Results. We included 14 articles analyzing variables related to decision-makers, organizational, and external environmental factors. No study included the influence of the specific factors of the decision within its analysis. Conclusions. There are different contextual factors that influence the strategic decision-making process in health organizations. However, there are few studies that allow us to establish a global framework to integrate the different perspectives.
1. XIV Coloquio Internacional. La influencia del contexto en el proceso de toma de decisiones estratégicas en organizaciones de salud. Lima: Cladea Editorial; s.f.
2. Chandler A. Strategy and structure: Chapters in the history of the industrial enterprise, 2nd ed. Massachusetts: Cambridge, Mass: MIT Press; 1990.
3. Andrews K. The concept of corporate strategy, 1st ed. Richard D. Irwin (ed.) New York: McGraw-Hill School Education Group; 1980.
4. Hambrick D. Some tests of the effectiveness and functional attributes of miles and snow’s strategic types. Acad Manag J. 1983;26(1): 5-26. https://doi.org/10.2307/256132.
5. Plunkett WR, Attner RF. Introduction to management, 3rd ed. London: International Thomson Publishing; 1992.
6. Mark S. Delaying decisions stifles: industrial management decision-making progress. Management Decision. 1997;45: 1622-1635. https://doi.org/10.1016/j.jbusres.2011.08.006
7. Mitchell JR, Shepherd DA, Sharfman MP. Erratic strategic decisions: when and why managers are inconsistent in strategic decision making. Strateg Manag J. 2011;32(7): 683-704. https://doi.org/10.1002/smj.905
8. Thompson AA, Strickland AJ. Strategic management: Concepts and cases. Chicago: Irwin Publishing Co.; 1995.
9. Rodríguez E, Pedraja L. Análisis del impacto del proceso de toma de decisiones estratégicas sobre la eficacia de las organizaciones públicas. Innovar. 2009;19(35): 33-46. https://revistas.unal.edu.co/index.php/innovar/article/view/28707
10. Hofer CW, Schendel D. Strategy formulation: Analytical concepts, 1st ed. South-Western; 1978.
11. Colignon R, Cray D. Critical organizations. Organ Stud. 1980;1(4): 349-365. https://doi.org/10.1177/017084068000100403
12. Mintzberg H, Raisinghani D, Theoret A. The structure of “unstructured” decision processes. Admin Sci Q. 1976;21(2): 246-275. https://doi.org/10.2307/2392045
13. Eisenhardt KM, Zbaracki MJ. Strategic decision making. Strateg Manag J. 1992;13(2): 17-37. https://doi.org/10.1002/smj.4250130904
14. Akyürek ÇE, Sawalha R, Ide S. Factors affecting the decision making process in healthcare institutions. Acad Strateg Manag J. 2015;14(1): 1-14. https://www.abacademies.org/articles/asmj-volume-14-special-issue.pdf#page=5
15. Elbanna S, Thanos IC, Papadakis VM. Understanding how the contextual variables influence political behaviour in strategic decision-making: a constructive replication. J Strateg Manag. 2014;7(3): 226-250. https://doi.org/10.1108/JSMA-02-2014-0013
16. Rajagopalan N, Rasheed AM, Datta DK. Strategic decision processes: Critical review and future directions. J Manag. 1993;19(2): 349-384. https://doi.org/10.1016/0149-2063(93)90057-T
17. Dean JW, Sharfman MP. Procedural rationality in the strategic decision-Making process. J Manag Stud. 1993;30(4): 587-610. https://doi.org/10.1111/j.1467-6486.1993.tb00317.x
18. Priem RL, Rasheed AMA, Kotulic AG. Rationality in strategic decision processes, environmental dynamism and firm performance. J Manag. 1995;21(5): 913-929. https://doi.org/10.1016/0149-2063(95)90047-0.
19. Elbanna S, Child J. The influence of decision, environmental and firm characteristics on the rationality of strategic decision-making. J Manag Stud. 2007;44(4): 561-591. https://doi.org/10.1111/j.1467-6486.2006.00670.x
20. Child J. Organizational structure, environment and performance: The role of strategic choice. Sociology. 1972;6(1): 1-22. https://doi.org/10.1177/003803857200600101
21. Cyert R, March JG. A behavioural theory of the firm. Primera ed. New Jersey: Englewood Cliffs; 1963.
22. Schwenk CR. The cognitive perspective on strategic decision making. J Manag Stud. 1988;25(1): 41-55. https://doi.org/10.1111/j.1467-6486.1988.tb00021.x
23. Hambrick DC, Mason PA. Upper Echelons: The organization as a reflection of its top managers. Acad Manag Rev. 1984;9(2): 193-206. https://doi.org/10.2307/258434
24. Hannan MT, Freeman J. The population ecology of organizations. Am J Sociol. 1977;82(5): 929-964. https://www.jstor.org/stable/2777807
25. Meissner P, Wulf T. Antecendents and effects of decision comprehensiveness: the role of decision quality and perceived uncertainty. Europ Manag J. 2014;32(4): 625-635. https://doi.org/10.1016/j.emj.2013.10.006
26. Sutcliffe KM, McNamara G. Controlling decision-Making practice in organizations. Organ Sci. 2001;12(4): 484-501. https://www.jstor.org/stable/3085984.
27. Romanelli E, Tushman ML. Inertia, environments and strategic choice: A quasi-experimental design for comparative-longitudinal research. Manag Sci. 1986;32(5): 608-621. https://doi.org/10.1287/mnsc.32.5.608.
28. Papadakis V, Lioukas S, Chambers D. Strategic decision-making processes: The role of management and context. Strateg Manag J. 1998;19(2): 115-147. https://doi.org/10.1002/(SICI)1097-0266(199802)19:2115::AID-SMJ9413.0.CO;2-5.
29. Hickson DJ. Top decisions: strategic decision-making in organizations, 1st ed. San Francisco: Jossey-Bas; 1986.
30. Dutton JE, Fahey L, Narayanan VK. Toward understanding strategic issue diagnosis. Strateg Manag J. 1983;4(4): 307-323. https://doi.org/10.1002/smj.4250040403
31. Elbanna S, Ali AJ, Dayan M. Conflict in strategic decision making: do the setting and environment matter? International J Confl Manag. 2011;22(3): 278-299. https://doi.org/10.1108/10444061111152973
32. Simon HA. Rationality as process and as product of thought. Am Econ Rev. 1978;68(2): 1-16. https://www.jstor.org/stable/1816653
33. Arnould RJ, DeBrock LM. Competition and market failure in the hospital industry: A review of the evidence. Med Care Res Rev. 1986;43(2): 253-292. https://doi.org/10.1177/107755878604300203
34. Ginter P, Duncan WJ, Swayne LE. The strategic management of health care organizations, 1st ed. New York: John Wiley & Sons; 2009.
35. McConnell CR. The changing face of health care management. Health Care Manag. 2000;18(3): 1-17. https://doi.org/10.1097/00126450-200018030-00002.
36. Hanson L, Carey T, Caprio A, Lee T, Ersek M, Garrett J, et al. Improving decision‐making for feeding options in advanced dementia: a randomized, controlled trial. J Am Geriatr Soc. 2011;59(11): 2009-2016. https://doi.org/10.1111/j.1532-5415.2011.03629.x.
37. Alexander JA, Hearld LR, Jiang HJ, Fraser I. Increasing the relevance of research to health care managers: Hospital CEO imperatives for improving quality and lowering costs. Health Care Manag Rev. 2007;32(2): 150-159. https://doi.org/10.1097/01.HMR.0000267792.09686.e3
38. Cochrane Iberoamérica. Manual Cochrane de revisiones sistemáticas de intervenciones.; 2012. http://www.cochrane.es/?q=es/node/269.
39. Kash B, Spaulding A, Gamm LD, Johnson CE. Healthcare strategic management and the resource based view. Journal of Strategy and Management. 2014;7(3): 251-264. https://doi.org/10.1108/JSMA-06-2013-0040
40. Langabeer JR, DelliFraine J. Does CEO optimism affect strategic process? Manag Res Rev. 2011;34(8): 857-868. https://doi.org/10.1108/01409171111152484.
41. Langabeer JR, Yao E. The impact of chief executive officer optimism on hospital strategic decision making. Health Care Manag Rev. 2012;37(4): 310-319. https://doi.org/10.1097/HMR.0b013e318235243b
42. Parayitam S. The effect of competence - based trust between physicians and administrative executives in healthcare on decision outcomes. Manag Res Rev. 2010;33(2): 174-191.https://doi.org/10.1108/01409171011015856
43. Parayitam S, Phelps LD, Olson BJ. Strategic decision-making in the healthcare industry: the effects of physician executives on decision outcomes. Manag Res News. 2007;30(4): 283-301. https://doi.org/10.1108/01409170710736329
44. Parayitam S, Dooley RS. The relationship between conflict and decision outcomes: moderating effects of cognitive- and affect-based trust in strategic decision-making teams. Intern J Confl Manag. 2007;18(1):42-73. https://doi.org/10.1108/10444060710759318.
45. Parayitam S, Dooley RS. Is too much cognitive conflict in strategic decision-making teams too bad? Intern J Confl Manag. 2011;22(4): 342-357. https://doi.org/10.1108/10444061111171350.
46. Shoemaker L, Kazley A, White A. Making the case for evidence-based design in healthcare: a descriptive case study of organizational decision making. HERD. 2010;4(1): 56-88. https://doi.org/10.1177/193758671000400105
47. Sosnowy CD, Weiss LJ, Maylahn CM, Pirani SJ, Katagiri NJ. Factors affecting evidence-based decision making in local health departments. Am J Prev Med. 2013;45(6): 763-768. https://doi.org/10.1016/j.amepre.2013.08.004
48. Kallio T, Kuoppakangas P. Bandwagoning municipal enterprises: Institutional isomorphism and the search for the Third Way. Policy Studies. 2013;34(1): 19-35. https://doi.org/10.1080/01442872.2012.731842
49. Simonen O, Viitanen E, Lehto J, Koivisto A. Knowledge sources affecting decision-making among social and health care managers. J Health Organ Manag. 2009;23(2): 183-199. https://doi.org/10.1108/14777260910960920
50. Siddiqui S, Ramesh A, Manoharan K, Hussein A, Jawad AM, Hussain F. Developing a framework for the internationalization of british healthcare institutes: A qualitative dual case study analysis. Intern J Healthcare Manag. 2014;7(1): 14-20. https://doi.org/10.1179/2047971913Y.0000000059.
51. MacDonald J, Bath P, Booth A. Healthcare services managers: what Information do they need and use? Evid Based Libr Inf Pract. 2008;3(3): 18-38. https://doi.org/10.18438/B8Q90C.
52. Lashgari S, Antuchevičienė J, Delavari A, Kheirkhah O. Using QSPM and WASPAS methods for determining outsourcing strategies. JOEBM. 2014;15(4): 1-15. https://doi.org/10.3846/16111699.2014.908789
53. Walters BA, Clarke L, HES, Shandiz M. Strategic decision-Making among top executives in acute-care hospitals. Health Mark Q. 2001;19(1): 43-59. https://doi.org/10.1300/J026v19n01_04
54. Child J, Chung L, Davies H. The performance of cross-Border units in China: a test of natural selection, strategic choice and contingency theories. J Int Bus Stud. 2003;34(3): 242-254. https://doi.org/10.1057/palgrave.jibs.8400033
55. Shepherd NG, Rudd JM. The influence of context on the strategic decision-Making process: A review of the literature. Int J Manag Rev. 2014;16(3): 340-364. https://doi.org/10.1111/ijmr.12023
56. Elbanna S, Child J. Influences on strategic decision effectiveness: development and test of an integrative model. Strateg Manag J. 2007;28(4): 431-453. https://doi.org/10.1002/smj.597
57. Schwenk CR. Strategic Decision Making. J Manag. 1995;21(3): 471-493. https://doi.org/10.1177/014920639502100304
2. Chandler A. Strategy and structure: Chapters in the history of the industrial enterprise, 2nd ed. Massachusetts: Cambridge, Mass: MIT Press; 1990.
3. Andrews K. The concept of corporate strategy, 1st ed. Richard D. Irwin (ed.) New York: McGraw-Hill School Education Group; 1980.
4. Hambrick D. Some tests of the effectiveness and functional attributes of miles and snow’s strategic types. Acad Manag J. 1983;26(1): 5-26. https://doi.org/10.2307/256132.
5. Plunkett WR, Attner RF. Introduction to management, 3rd ed. London: International Thomson Publishing; 1992.
6. Mark S. Delaying decisions stifles: industrial management decision-making progress. Management Decision. 1997;45: 1622-1635. https://doi.org/10.1016/j.jbusres.2011.08.006
7. Mitchell JR, Shepherd DA, Sharfman MP. Erratic strategic decisions: when and why managers are inconsistent in strategic decision making. Strateg Manag J. 2011;32(7): 683-704. https://doi.org/10.1002/smj.905
8. Thompson AA, Strickland AJ. Strategic management: Concepts and cases. Chicago: Irwin Publishing Co.; 1995.
9. Rodríguez E, Pedraja L. Análisis del impacto del proceso de toma de decisiones estratégicas sobre la eficacia de las organizaciones públicas. Innovar. 2009;19(35): 33-46. https://revistas.unal.edu.co/index.php/innovar/article/view/28707
10. Hofer CW, Schendel D. Strategy formulation: Analytical concepts, 1st ed. South-Western; 1978.
11. Colignon R, Cray D. Critical organizations. Organ Stud. 1980;1(4): 349-365. https://doi.org/10.1177/017084068000100403
12. Mintzberg H, Raisinghani D, Theoret A. The structure of “unstructured” decision processes. Admin Sci Q. 1976;21(2): 246-275. https://doi.org/10.2307/2392045
13. Eisenhardt KM, Zbaracki MJ. Strategic decision making. Strateg Manag J. 1992;13(2): 17-37. https://doi.org/10.1002/smj.4250130904
14. Akyürek ÇE, Sawalha R, Ide S. Factors affecting the decision making process in healthcare institutions. Acad Strateg Manag J. 2015;14(1): 1-14. https://www.abacademies.org/articles/asmj-volume-14-special-issue.pdf#page=5
15. Elbanna S, Thanos IC, Papadakis VM. Understanding how the contextual variables influence political behaviour in strategic decision-making: a constructive replication. J Strateg Manag. 2014;7(3): 226-250. https://doi.org/10.1108/JSMA-02-2014-0013
16. Rajagopalan N, Rasheed AM, Datta DK. Strategic decision processes: Critical review and future directions. J Manag. 1993;19(2): 349-384. https://doi.org/10.1016/0149-2063(93)90057-T
17. Dean JW, Sharfman MP. Procedural rationality in the strategic decision-Making process. J Manag Stud. 1993;30(4): 587-610. https://doi.org/10.1111/j.1467-6486.1993.tb00317.x
18. Priem RL, Rasheed AMA, Kotulic AG. Rationality in strategic decision processes, environmental dynamism and firm performance. J Manag. 1995;21(5): 913-929. https://doi.org/10.1016/0149-2063(95)90047-0.
19. Elbanna S, Child J. The influence of decision, environmental and firm characteristics on the rationality of strategic decision-making. J Manag Stud. 2007;44(4): 561-591. https://doi.org/10.1111/j.1467-6486.2006.00670.x
20. Child J. Organizational structure, environment and performance: The role of strategic choice. Sociology. 1972;6(1): 1-22. https://doi.org/10.1177/003803857200600101
21. Cyert R, March JG. A behavioural theory of the firm. Primera ed. New Jersey: Englewood Cliffs; 1963.
22. Schwenk CR. The cognitive perspective on strategic decision making. J Manag Stud. 1988;25(1): 41-55. https://doi.org/10.1111/j.1467-6486.1988.tb00021.x
23. Hambrick DC, Mason PA. Upper Echelons: The organization as a reflection of its top managers. Acad Manag Rev. 1984;9(2): 193-206. https://doi.org/10.2307/258434
24. Hannan MT, Freeman J. The population ecology of organizations. Am J Sociol. 1977;82(5): 929-964. https://www.jstor.org/stable/2777807
25. Meissner P, Wulf T. Antecendents and effects of decision comprehensiveness: the role of decision quality and perceived uncertainty. Europ Manag J. 2014;32(4): 625-635. https://doi.org/10.1016/j.emj.2013.10.006
26. Sutcliffe KM, McNamara G. Controlling decision-Making practice in organizations. Organ Sci. 2001;12(4): 484-501. https://www.jstor.org/stable/3085984.
27. Romanelli E, Tushman ML. Inertia, environments and strategic choice: A quasi-experimental design for comparative-longitudinal research. Manag Sci. 1986;32(5): 608-621. https://doi.org/10.1287/mnsc.32.5.608.
28. Papadakis V, Lioukas S, Chambers D. Strategic decision-making processes: The role of management and context. Strateg Manag J. 1998;19(2): 115-147. https://doi.org/10.1002/(SICI)1097-0266(199802)19:2115::AID-SMJ9413.0.CO;2-5.
29. Hickson DJ. Top decisions: strategic decision-making in organizations, 1st ed. San Francisco: Jossey-Bas; 1986.
30. Dutton JE, Fahey L, Narayanan VK. Toward understanding strategic issue diagnosis. Strateg Manag J. 1983;4(4): 307-323. https://doi.org/10.1002/smj.4250040403
31. Elbanna S, Ali AJ, Dayan M. Conflict in strategic decision making: do the setting and environment matter? International J Confl Manag. 2011;22(3): 278-299. https://doi.org/10.1108/10444061111152973
32. Simon HA. Rationality as process and as product of thought. Am Econ Rev. 1978;68(2): 1-16. https://www.jstor.org/stable/1816653
33. Arnould RJ, DeBrock LM. Competition and market failure in the hospital industry: A review of the evidence. Med Care Res Rev. 1986;43(2): 253-292. https://doi.org/10.1177/107755878604300203
34. Ginter P, Duncan WJ, Swayne LE. The strategic management of health care organizations, 1st ed. New York: John Wiley & Sons; 2009.
35. McConnell CR. The changing face of health care management. Health Care Manag. 2000;18(3): 1-17. https://doi.org/10.1097/00126450-200018030-00002.
36. Hanson L, Carey T, Caprio A, Lee T, Ersek M, Garrett J, et al. Improving decision‐making for feeding options in advanced dementia: a randomized, controlled trial. J Am Geriatr Soc. 2011;59(11): 2009-2016. https://doi.org/10.1111/j.1532-5415.2011.03629.x.
37. Alexander JA, Hearld LR, Jiang HJ, Fraser I. Increasing the relevance of research to health care managers: Hospital CEO imperatives for improving quality and lowering costs. Health Care Manag Rev. 2007;32(2): 150-159. https://doi.org/10.1097/01.HMR.0000267792.09686.e3
38. Cochrane Iberoamérica. Manual Cochrane de revisiones sistemáticas de intervenciones.; 2012. http://www.cochrane.es/?q=es/node/269.
39. Kash B, Spaulding A, Gamm LD, Johnson CE. Healthcare strategic management and the resource based view. Journal of Strategy and Management. 2014;7(3): 251-264. https://doi.org/10.1108/JSMA-06-2013-0040
40. Langabeer JR, DelliFraine J. Does CEO optimism affect strategic process? Manag Res Rev. 2011;34(8): 857-868. https://doi.org/10.1108/01409171111152484.
41. Langabeer JR, Yao E. The impact of chief executive officer optimism on hospital strategic decision making. Health Care Manag Rev. 2012;37(4): 310-319. https://doi.org/10.1097/HMR.0b013e318235243b
42. Parayitam S. The effect of competence - based trust between physicians and administrative executives in healthcare on decision outcomes. Manag Res Rev. 2010;33(2): 174-191.https://doi.org/10.1108/01409171011015856
43. Parayitam S, Phelps LD, Olson BJ. Strategic decision-making in the healthcare industry: the effects of physician executives on decision outcomes. Manag Res News. 2007;30(4): 283-301. https://doi.org/10.1108/01409170710736329
44. Parayitam S, Dooley RS. The relationship between conflict and decision outcomes: moderating effects of cognitive- and affect-based trust in strategic decision-making teams. Intern J Confl Manag. 2007;18(1):42-73. https://doi.org/10.1108/10444060710759318.
45. Parayitam S, Dooley RS. Is too much cognitive conflict in strategic decision-making teams too bad? Intern J Confl Manag. 2011;22(4): 342-357. https://doi.org/10.1108/10444061111171350.
46. Shoemaker L, Kazley A, White A. Making the case for evidence-based design in healthcare: a descriptive case study of organizational decision making. HERD. 2010;4(1): 56-88. https://doi.org/10.1177/193758671000400105
47. Sosnowy CD, Weiss LJ, Maylahn CM, Pirani SJ, Katagiri NJ. Factors affecting evidence-based decision making in local health departments. Am J Prev Med. 2013;45(6): 763-768. https://doi.org/10.1016/j.amepre.2013.08.004
48. Kallio T, Kuoppakangas P. Bandwagoning municipal enterprises: Institutional isomorphism and the search for the Third Way. Policy Studies. 2013;34(1): 19-35. https://doi.org/10.1080/01442872.2012.731842
49. Simonen O, Viitanen E, Lehto J, Koivisto A. Knowledge sources affecting decision-making among social and health care managers. J Health Organ Manag. 2009;23(2): 183-199. https://doi.org/10.1108/14777260910960920
50. Siddiqui S, Ramesh A, Manoharan K, Hussein A, Jawad AM, Hussain F. Developing a framework for the internationalization of british healthcare institutes: A qualitative dual case study analysis. Intern J Healthcare Manag. 2014;7(1): 14-20. https://doi.org/10.1179/2047971913Y.0000000059.
51. MacDonald J, Bath P, Booth A. Healthcare services managers: what Information do they need and use? Evid Based Libr Inf Pract. 2008;3(3): 18-38. https://doi.org/10.18438/B8Q90C.
52. Lashgari S, Antuchevičienė J, Delavari A, Kheirkhah O. Using QSPM and WASPAS methods for determining outsourcing strategies. JOEBM. 2014;15(4): 1-15. https://doi.org/10.3846/16111699.2014.908789
53. Walters BA, Clarke L, HES, Shandiz M. Strategic decision-Making among top executives in acute-care hospitals. Health Mark Q. 2001;19(1): 43-59. https://doi.org/10.1300/J026v19n01_04
54. Child J, Chung L, Davies H. The performance of cross-Border units in China: a test of natural selection, strategic choice and contingency theories. J Int Bus Stud. 2003;34(3): 242-254. https://doi.org/10.1057/palgrave.jibs.8400033
55. Shepherd NG, Rudd JM. The influence of context on the strategic decision-Making process: A review of the literature. Int J Manag Rev. 2014;16(3): 340-364. https://doi.org/10.1111/ijmr.12023
56. Elbanna S, Child J. Influences on strategic decision effectiveness: development and test of an integrative model. Strateg Manag J. 2007;28(4): 431-453. https://doi.org/10.1002/smj.597
57. Schwenk CR. Strategic Decision Making. J Manag. 1995;21(3): 471-493. https://doi.org/10.1177/014920639502100304
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