000			01440naa a2200181uu 4500
001			6111615410321
003			OSt
005			20190211161351.0
008			061116s1998 xx ||||gr |0|| 0 eng d
100	1		_aBARR, Donald A. _928224
245	1	0	_aStrategic management or environmental change : _bwhich determines success in health care organizations?
260			_aThousand Oaks : _bSAGE, _cSeptember 1998
520	3		_aIt is often difficult in complex organizational systems for managers to attribute accurately changes in organizational performance to changes in management strategy. In this case study of the Kaiser Permanente Northern California Health Care System, managers attributed improvement in patient enrollment to strategic action taken earlier to improve patient satisfaction. Empirical data demonstrate that changes in patient enrollment were actually due to changes in the market for medical care external to Kaiser and out of the control of Kaiser managers. Subsequent problems in the Kaiser system may have been worsened by this earlier misattribution. It is important for health care managers to appreciate the difficulty in linking strategic action to changes in organizational performance
773	0	8	_tAdministration & Society _g30, 4, p. 374-392 _dThousand Oaks : SAGE, September 1998 _xISSN 00953997 _w
942			_cS
998			_a20061116 _b1541^b _cNatália
998			_a20100805 _b1552^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c19845 _d19845
041			_aeng