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Executive management in radical change--The case of the Karolinska University Hospital merger

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  • Choi, Soki
  • Holmberg, Ingalill
  • Löwstedt, Jan
  • Brommels, Mats

Abstract

Summary Based on the merger of two Swedish university hospitals, this paper examines top management's work in implementing radical change initiatives. Our case confirms the limitations of the classic top-down approach to radical change in professional organizations. We also identify an important paradox: contrary to contemporary change literature prescription, initial managerial success seems to impair the change process further down the organization. A key finding is that when mergers are used as tools to effect radical change in politically ambiguous environment, management appears to be limited to initiate change and to take the role of the scapegoat due to inherent factors in the change process. By elucidating management's difficult role vis-à-vis multiple stakeholders, this paper contributes to one aspect of managerial agency discourse that is rarely discussed in detail.

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  • Choi, Soki & Holmberg, Ingalill & Löwstedt, Jan & Brommels, Mats, 2011. "Executive management in radical change--The case of the Karolinska University Hospital merger," Scandinavian Journal of Management, Elsevier, vol. 27(1), pages 11-23, March.
    • Handle: RePEc:eee:scaman:v:27:y:2011:i:1:p:11-23
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    1. Andrew M. Pettigrew, 1987. "Context And Action In The Transformation Of The Firm," Journal of Management Studies, Wiley Blackwell, vol. 24(6), pages 649-670, November.
    2. Eero Vaara, 2001. "Role-bound actors in corporate combinations : a sociopolitical perspective on post-merger change processes," Post-Print hal-02312877, HAL.
    3. Dorothy Leonard-Barton, 1990. "A Dual Methodology for Case Studies: Synergistic Use of a Longitudinal Single Site with Replicated Multiple Sites," Organization Science, INFORMS, vol. 1(3), pages 248-266, August.
    4. Klaus E. Meyer & Enese Lieb‐Dóczy, 2003. "Post‐Acquisition Restructuring as Evolutionary Process," Journal of Management Studies, Wiley Blackwell, vol. 40(2), pages 459-482, March.
    5. Philippe Monin & Eero Vaara, 2010. "A Recursive Perspective on Discursive Legitimation and Organizational Action in Mergers and Acquisitions," Post-Print hal-02312439, HAL.
    6. Andrew M. Pettigrew, 1990. "Longitudinal Field Research on Change: Theory and Practice," Organization Science, INFORMS, vol. 1(3), pages 267-292, August.
    7. Bo Hellgren & Jan Lowstedt & Liisa Puttonen & Janne Tienari & Eero Vaara & Andreas Werr, 2002. "How Issues Become (Re)constructed in the Media : Discursive Practices in the AstraZeneca Merger," Post-Print hal-02312881, HAL.
    8. Julian Birkinshaw, 2000. "Managing the Post-acquisition Integration Process: How the Human Iintegration and Task Integration Processes Interact to Foster Value Creation," Journal of Management Studies, Wiley Blackwell, vol. 37, pages 395-425, May.
    9. Eero Vaara & Janne Tienari & Ingmar Björkman, 2003. "Global capitalism meets national spirit : Discourses in media texts on a cross-border acquisition," Post-Print hal-02311661, HAL.
    10. Glenn Morgan & Andrew Sturdy, 2000. "Beyond Organizational Change," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-80005-2.
    11. Empson, Laura, 2004. "Organizational identity change: managerial regulation and member identification in an accounting firm acquisition," Accounting, Organizations and Society, Elsevier, vol. 29(8), pages 759-781, November.
    12. Fulop, Naomi & Protopsaltis, Gerasimos & King, Annette & Allen, Pauline & Hutchings, Andrew & Normand, Charles, 2005. "Changing organisations: a study of the context and processes of mergers of health care providers in England," Social Science & Medicine, Elsevier, vol. 60(1), pages 119-130, January.
    13. Julian Birkinshaw & Henrik Bresman & Lars Håkanson, 2000. "Managing the Post‐acquisition Integration Process: How the Human Iintegration and Task Integration Processes Interact to Foster Value Creation," Journal of Management Studies, Wiley Blackwell, vol. 37(3), pages 395-425, May.
    14. Eero Vaara, 2003. "Post‐acquisition Integration as Sensemaking: Glimpses of Ambiguity, Confusion, Hypocrisy, and Politicization," Journal of Management Studies, Wiley Blackwell, vol. 40(4), pages 859-894, June.
    15. Pettigrew, Andrew M., 1997. "What is a processual analysis?," Scandinavian Journal of Management, Elsevier, vol. 13(4), pages 337-348, December.
    16. Eero Vaara & Philippe Monin, 2010. "A Recursive Perspective on Discursive Legitimation and Organizational Action in Mergers and Acquisitions," Organization Science, INFORMS, vol. 21(1), pages 3-22, February.
    17. Hammer, Michael & Champy, James, 1993. "Reengineering the corporation: A manifesto for business revolution," Business Horizons, Elsevier, vol. 36(5), pages 90-91.
    18. Royston Greenwood & C. R. Hinings & John Brown, 1994. "Merging Professional Service Firms," Organization Science, INFORMS, vol. 5(2), pages 239-257, May.
    19. Eero Vaara, 2003. "Post-acquisition integration as sensemaking : Glimpses of ambiguity, confusion, hypocrisy, and politicization," Post-Print hal-02311680, HAL.
    20. Martin Kitchener & Linda Gask, 2003. "NPM merger mania Lessons from an early case," Public Management Review, Taylor & Francis Journals, vol. 5(1), pages 19-44, March.
    21. Deepak K. Datta, 1991. "Organizational fit and acquisition performance: Effects of post‐acquisition integration," Strategic Management Journal, Wiley Blackwell, vol. 12(4), pages 281-297, May.
    22. Vaara, Eero, 2001. "Role-bound actors in corporate combinations: a sociopolitical perspective on post-merger change processes," Scandinavian Journal of Management, Elsevier, vol. 17(4), pages 481-509, December.
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    Cited by:

    1. Clark, Andrew E. & Milcent, Carine, 2018. "Ownership and hospital behaviour: Employment and local unemployment," Social Science & Medicine, Elsevier, vol. 202(C), pages 151-161.
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    3. Andrew E. Clark & Carine Milcent, 2015. "Hospital Employment and Local Unemployment: Evidence from French Health Reforms," Working Papers halshs-01183454, HAL.
    4. Mohammad Alharbi, 2018. "The Effect of Leadership Behaviours on the Change Process in Healthcare Organisations in Saudi Arabia," Global Journal of Health Science, Canadian Center of Science and Education, vol. 10(6), pages 1-77, June.
    5. Rohde, Tarald & Torvatn, Hans, 2017. "A strategic document as a tool for implementing change. Lessons from the merger creating the South-East Health region in Norway," Health Policy, Elsevier, vol. 121(5), pages 525-533.
    6. Ernst, Jette, 2019. "The curse of bureaucratisation or the blessings of professionalisation? Nurses’ engaged adoption of quality management in hybrid managerial positions," Scandinavian Journal of Management, Elsevier, vol. 35(3).
    7. Börjeson, Love & Löwstedt, Jan, 2017. "Accomplish change or causing hesitance – Developing practices in professional service firms," Scandinavian Journal of Management, Elsevier, vol. 33(3), pages 185-194.
    8. Thomas, Robyn & Hardy, Cynthia, 2011. "Reframing resistance to organizational change," Scandinavian Journal of Management, Elsevier, vol. 27(3), pages 322-331, September.
    9. Teerikangas, Satu & Colman, Helene Loe, 2020. "Theorizing in the qualitative study of mergers & acquisitions," Scandinavian Journal of Management, Elsevier, vol. 36(1).

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