IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v123y2019i12p1298-1307.html
   My bibliography  Save this article

What drives hospital wards’ ambidexterity: Insights on the determinants of exploration and exploitation

Author

Listed:
  • Foglia, Emanuela
  • Ferrario, Lucrezia
  • Lettieri, Emanuele
  • Porazzi, Emanuele
  • Gastaldi, Luca

Abstract

Hospital wards are required to exploit current knowledge and explore for new knowledge. Ambidexterity (i.e., the capability to combine both exploitation and exploration) is a major issue in healthcare as result of the growing expectations that hospitals wards have the capability to manage the trade-off between high-quality delivery of care and cost-containment. This study sheds novel light on the determinants of ambidextrous behaviours in hospital wards.

Suggested Citation

  • Foglia, Emanuela & Ferrario, Lucrezia & Lettieri, Emanuele & Porazzi, Emanuele & Gastaldi, Luca, 2019. "What drives hospital wards’ ambidexterity: Insights on the determinants of exploration and exploitation," Health Policy, Elsevier, vol. 123(12), pages 1298-1307.
  • Handle: RePEc:eee:hepoli:v:123:y:2019:i:12:p:1298-1307
    DOI: 10.1016/j.healthpol.2019.10.004
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851018303452
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.healthpol.2019.10.004?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Justin J.P. Jansen & Frans A.J. Van den Bosch & Henk W. Volberda, 2005. "Exploratory Innovation, Exploitative Innovation, And Ambidexterity: The Impact Of Environmental And Organizational Antecedents," Schmalenbach Business Review (sbr), LMU Munich School of Management, vol. 57(4), pages 351-363, October.
    2. James G. March, 1991. "Exploration and Exploitation in Organizational Learning," Organization Science, INFORMS, vol. 2(1), pages 71-87, February.
    3. Hart E. Posen & Daniel A. Levinthal, 2012. "Chasing a Moving Target: Exploitation and Exploration in Dynamic Environments," Management Science, INFORMS, vol. 58(3), pages 587-601, March.
    4. Ferry Koster & Gina van Bree, 2018. "How Managers Evoke Ambidexterity and Collaboration: A Qualitative Study in a Dutch Hospital," International Journal of Innovation and Technology Management (IJITM), World Scientific Publishing Co. Pte. Ltd., vol. 15(06), pages 1-19, December.
    5. Widener, Sally K., 2007. "An empirical analysis of the levers of control framework," Accounting, Organizations and Society, Elsevier, vol. 32(7-8), pages 757-788.
    6. Gautam Ahuja, 2000. "The duality of collaboration: inducements and opportunities in the formation of interfirm linkages," Strategic Management Journal, Wiley Blackwell, vol. 21(3), pages 317-343, March.
    7. Zi-Lin He & Poh-Kam Wong, 2004. "Exploration vs. Exploitation: An Empirical Test of the Ambidexterity Hypothesis," Organization Science, INFORMS, vol. 15(4), pages 481-494, August.
    8. Garud, Raghu & Karnoe, Peter, 2003. "Bricolage versus breakthrough: distributed and embedded agency in technology entrepreneurship," Research Policy, Elsevier, vol. 32(2), pages 277-300, February.
    9. Michael Lubatkin & Zeki Simsek & Yan Ling & John F. Veiga, 2006. "Ambidexterity and Performance in Small-to Medium-Sized Firms : The Pivotal Role of Top Management Team Behavioral Integration," Post-Print hal-02311781, HAL.
    10. Helena Yli‐Renko & Erkko Autio & Harry J. Sapienza, 2001. "Social capital, knowledge acquisition, and knowledge exploitation in young technology‐based firms," Strategic Management Journal, Wiley Blackwell, vol. 22(6‐7), pages 587-613, June.
    11. Kathrin Rosing & Nina Rosenbusch & Michael Frese, 2010. "Ambidextrous Leadership in the Innovation Process," Springer Books, in: Alexander Gerybadze & Ulrich Hommel & Hans W. Reiners & Dieter Thomaschewski (ed.), Innovation and International Corporate Growth, pages 191-204, Springer.
    12. Luca Gastaldi & Francesco Paolo Appio & Mariano Corso & Andrea Pistorio, 2018. "Managing the exploration-exploitation paradox in healthcare," Post-Print halshs-02292327, HAL.
    13. Bill McEvily & Alfred Marcus, 2005. "Embedded ties and the acquisition of competitive capabilities," Strategic Management Journal, Wiley Blackwell, vol. 26(11), pages 1033-1055, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. José Andrade & Mário Franco & Luis Mendes, 2021. "Technological capacity and organisational ambidexterity: the moderating role of environmental dynamism on Portuguese technological SMEs," Review of Managerial Science, Springer, vol. 15(7), pages 2111-2136, October.
    2. Malik, Ashish & Budhwar, Pawan & Kandade, Kiran, 2022. "Nursing excellence: A knowledge-based view of developing a healthcare workforce," Journal of Business Research, Elsevier, vol. 144(C), pages 472-483.
    3. Rogier van de Wetering & Rachelle Bosua & Cornelis Boersma & Daan Dohmen, 2022. "Information Technology Ambidexterity-Driven Patient Agility, Patient Service- and Market Performance: A Variance and fsQCA Approach," Sustainability, MDPI, vol. 14(7), pages 1-21, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yun Hwangbo & Wang-Jae Shin & Youngjun Kim, 2022. "Moderating Effects of Leadership and Innovation Activities on the Technological Innovation, Market Orientation and Corporate Performance Model," Sustainability, MDPI, vol. 14(11), pages 1-32, May.
    2. Avimanyu Datta, 2011. "Combining Networks, Ambidexterity and Absorptive Capacity to Explain Commercialization of Innovations: A Theoretical Model from Review and Extension," Journal of Management and Strategy, Journal of Management and Strategy, Sciedu Press, vol. 2(4), pages 2-25, December.
    3. Sabyasachi Sinha, 2015. "The Exploration–Exploitation Dilemma: A Review in the Context of Managing Growth of New Ventures," Vikalpa: The Journal for Decision Makers, , vol. 40(3), pages 313-323, September.
    4. Manuel Guisado-González & Jennifer González-Blanco & José Luis Coca-Pérez, 2019. "Exploration, exploitation, and firm age in alliance portfolios," Eurasian Business Review, Springer;Eurasia Business and Economics Society, vol. 9(4), pages 387-406, December.
    5. Vinit Parida & Tom Lahti & Joakim Wincent, 2016. "Exploration and exploitation and firm performance variability: a study of ambidexterity in entrepreneurial firms," International Entrepreneurship and Management Journal, Springer, vol. 12(4), pages 1147-1164, December.
    6. David B. Audretsch & Maribel Guerrero, 2023. "Is ambidexterity the missing link between entrepreneurship, management, and innovation?," The Journal of Technology Transfer, Springer, vol. 48(6), pages 1891-1918, December.
    7. Oana Buliga & Christian W. Scheiner & Kai-Ingo Voigt, 2016. "Business model innovation and organizational resilience: towards an integrated conceptual framework," Journal of Business Economics, Springer, vol. 86(6), pages 647-670, August.
    8. José Andrade & Mário Franco & Luis Mendes, 2021. "Technological capacity and organisational ambidexterity: the moderating role of environmental dynamism on Portuguese technological SMEs," Review of Managerial Science, Springer, vol. 15(7), pages 2111-2136, October.
    9. Derya Çelik & Ülkü Uzunçarşılı, 2023. "Is the Effect of Organizational Ambidexterity and Technological Innovation Capability on Firm Performance Mediated by Competitive Advantage? An Empirical Research on Turkish Manufacturing and Service ," SAGE Open, , vol. 13(4), pages 21582440231, November.
    10. Bedford, David S. & Bisbe, Josep & Sweeney, Breda, 2019. "Performance measurement systems as generators of cognitive conflict in ambidextrous firms," Accounting, Organizations and Society, Elsevier, vol. 72(C), pages 21-37.
    11. Lori Rosenkopf & Patia McGrath, 2011. "Advancing the Conceptualization and Operationalization of Novelty in Organizational Research," Organization Science, INFORMS, vol. 22(5), pages 1297-1311, October.
    12. Katou, Anastasia A. & Budhwar, Pawan S. & Patel, Charmi, 2021. "A trilogy of organizational ambidexterity: Leader’s social intelligence, employee work engagement and environmental changes," Journal of Business Research, Elsevier, vol. 128(C), pages 688-700.
    13. Osiyevskyy, Oleksiy & Shirokova, Galina & Ritala, Paavo, 2020. "Exploration and exploitation in crisis environment: Implications for level and variability of firm performance," Journal of Business Research, Elsevier, vol. 114(C), pages 227-239.
    14. Jürgen Weibler & Tobias Keller, 2011. "Ambidextrie in Abhängigkeit von Führungsverantwortung und Marktwahrnehmung: Eine empirische Analyse des individuellen Arbeitsverhaltens in Unternehmen," Schmalenbach Journal of Business Research, Springer, vol. 63(2), pages 155-188, March.
    15. Guktae Kim & Moon-Goo Huh, 2015. "Exploration and organizational longevity: The moderating role of strategy and environment," Asia Pacific Journal of Management, Springer, vol. 32(2), pages 389-414, June.
    16. Hu, Min & Dou, Junsheng & You, Xialei, 2023. "Is organizational ambidexterity always beneficial to family-managed SMEs? Evidence from China," Journal of Business Research, Elsevier, vol. 167(C).
    17. Busola Oluwafemi, Tolulope & Mitchelmore, Siwan & Nikolopoulos, Konstantinos, 2020. "Leading innovation: Empirical evidence for ambidextrous leadership from UK high-tech SMEs," Journal of Business Research, Elsevier, vol. 119(C), pages 195-208.
    18. Klaus Möller & Flavia Schmid & Theresa Maria Seehofer & Philipp Wenig, 2022. "How the Design of an Organizational Context Helps to Attain Contextual Ambidexterity," Schmalenbach Journal of Business Research, Springer, vol. 74(4), pages 603-629, December.
    19. Christine Weigel & Klaus Derfuss & Martin R. W. Hiebl, 2023. "Financial managers and organizational ambidexterity in the German Mittelstand: the moderating role of strategy involvement," Review of Managerial Science, Springer, vol. 17(2), pages 569-605, February.
    20. Leo Aldianto & Grisna Anggadwita & Anggraeni Permatasari & Isti Raafaldini Mirzanti & Ian O. Williamson, 2021. "Toward a Business Resilience Framework for Startups," Sustainability, MDPI, vol. 13(6), pages 1-19, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:123:y:2019:i:12:p:1298-1307. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.