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Coordinating Mechanisms in Care Provider Groups: Relational Coordination as a Mediator and Input Uncertainty as a Moderator of Performance Effects

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  • Jody Hoffer Gittell

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    (Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, Massachusetts 02454)

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    Abstract

    This paper proposes a model of how coordinating mechanisms work, and tests it in the context of patient care. Consistent with organization design theory, the performance effects of boundary spanners and team meetings were mediated by relational coordination, a communication- and relationship-intensive form of coordination. Contrary to organization design theory, however, the performance effects of routines were also mediated by relational coordination. Rather than serving as a replacement for interactions, as anticipated by organization design theory, routines work by enhancing interactions among participants. Likewise, all three coordinating mechanisms, including routines, were found to be increasingly effective under conditions of uncertainty.

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    File URL: http://dx.doi.org/10.1287/mnsc.48.11.1408.268
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    Bibliographic Info

    Article provided by INFORMS in its journal Management Science.

    Volume (Year): 48 (2002)
    Issue (Month): 11 (November)
    Pages: 1408-1426

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    Handle: RePEc:inm:ormnsc:v:48:y:2002:i:11:p:1408-1426

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    Web page: http://www.informs.org/
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    Related research

    Keywords: Coordinating Mechanisms; Boundary Spanners; Routines; Relational Coordination; Input in Certainty; Performance;

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    Cited by:
    1. Cécile Godé-Sanchez, 2008. "Les Pratiques De Coordination En Environnement Volatile : Le Cas Des Forces Aeriennes Françaises En Situation Operationnelle," Post-Print hal-00293535, HAL.
    2. Randall D. Cebul & James B. Rebitzer & Lowell J. Taylor & Mark E. Votruba, 2008. "Organizational Fragmentation and Care Quality in the U.S. Healthcare System," Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 93-113, Fall.
    3. Driessen, Paul H. & Kok, Robert A.W. & Hillebrand, Bas, 2013. "Mechanisms for stakeholder integration: Bringing virtual stakeholder dialogue into organizations," Journal of Business Research, Elsevier, vol. 66(9), pages 1465-1472.
    4. Heimeriks, K.H. & Duysters, G.M., 2003. "Alliance capability as mediator between experience and alliance performance: an empirical investigation into the alliance capability development process," Eindhoven Center for Innovation Studies (ECIS) working paper series 03.18, Eindhoven Center for Innovation Studies (ECIS).
    5. Stephen Frenkel & Karin Sanders & Tim Bednall, 2013. "Employee perceptions of management relations as influences on job satisfaction and quit intentions," Asia Pacific Journal of Management, Springer, vol. 30(1), pages 7-29, March.
    6. Peter Tsasis & Jenna M. Evans & Linda Rush & John Diamond, 2013. "Learning to Learn: towards a Relational and Transformational Model of Learning for Improved Integrated Care Delivery," Administrative Sciences, MDPI, Open Access Journal, vol. 3(2), pages 9-31, June.
    7. Jody Hoffer Gittell & Kim Cameron & Sandy Lim & Victor Rivas, 2005. "Relationships, Layoffs, and Organizational Resilience: Airline Industry Responses to September 11," EERI Research Paper Series EERI_RP_2005_06, Economics and Econometrics Research Institute (EERI), Brussels.
    8. Deneckere, Svin & Euwema, Martin & Van Herck, Pieter & Lodewijckx, Cathy & Panella, Massimiliano & Sermeus, Walter & Vanhaecht, Kris, 2012. "Care pathways lead to better teamwork: Results of a systematic review," Social Science & Medicine, Elsevier, vol. 75(2), pages 264-268.
    9. Chowdhury, Sanjib, 2011. "The moderating effects of customer driven complexity on the structure and growth relationship in young firms," Journal of Business Venturing, Elsevier, vol. 26(3), pages 306-320, May.
    10. Chowdhury, Sanjib & Miles, Grant, 2006. "Customer-induced uncertainty in predicting organizational design: Empirical evidence challenging the service versus manufacturing dichotomy," Journal of Business Research, Elsevier, vol. 59(1), pages 121-129, January.

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