Academic medical centres in the Netherlands: muddling through or radical change?

ABSTRACT:

Introduction

Academic medical centres (AMCs) are designed to perform multiple tasks within a single organisation. This institutional complexity gives rise to intricate governance challenges and promotes incrementalism and muddling.

Method

In this study, we hypothesised that radical change could provide a solution to the current incrementalism and we explored the conditions under which such changes could or could not be achieved.

Results

We conducted unstructured interviews with various high-level stakeholders and identified issues that negatively affected the governance of Dutch AMCs, which include: 1) negative undercurrents and unspoken issues due to conflicts of interests, 2) organisational complexity due to relationships with a university and academic medical speci

SUBMITTER: Cardinaal EMM 

PROVIDER: S-EPMC10794299 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature