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Coordination Networks Within and Across Organizations: A Multi-level Framework


  • Jody Hoffer Gittell
  • Leigh Weiss


There are important organizational phenomena that cannot be fruitfully examined without crossing levels of analysis, as others have shown. We argue that coordination of patient care in the current institutional environment is one such phenomenon. As organizations vertically disintegrate and outsource services that were once produced internally, coordination with external organizations becomes increasingly important for achieving desired performance outcomes. We describe the efforts of one hospital to extend the intra-organizational coordination of patient care to encompass coordination with its external partners. The organization design and network perspectives are both conducive to spanning multiple levels of analysis. We show that the two perspectives together serve as a useful vehicle for developing a framework that links intra- and inter-organizational coordination. Copyright Blackwell Publishing Ltd 2004.

Suggested Citation

  • Jody Hoffer Gittell & Leigh Weiss, 2004. "Coordination Networks Within and Across Organizations: A Multi-level Framework," Journal of Management Studies, Wiley Blackwell, vol. 41(1), pages 127-153, January.
  • Handle: RePEc:bla:jomstd:v:41:y:2004:i:1:p:127-153

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    2. Westra, Daan & Angeli, Federica & Carree, Martin & Ruwaard, Dirk, 2017. "Understanding competition between healthcare providers: Introducing an intermediary inter-organizational perspective," Health Policy, Elsevier, vol. 121(2), pages 149-157.
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    5. Mascia, Daniele & Angeli, Federica & Di Vincenzo, Fausto, 2015. "Effect of hospital referral networks on patient readmissions," Social Science & Medicine, Elsevier, vol. 132(C), pages 113-121.
    6. Ahmed, Muhammad Bilal & Wasey, Ejaz & Jhanndir, Saif Ullah, 2012. "Impact Of Employee Motivation On Customer Satisfaction: Study Of Airline Industry In Pakistan," MPRA Paper 70758, University Library of Munich, Germany.
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    8. Pittinsky, Todd L. & Matic, Tina, 2005. "Global Bystander Non-intervention: Cross-Level Insights on Cross-National Helping," Working Paper Series rwp05-006, Harvard University, John F. Kennedy School of Government.
    9. Pallotti, Francesca & Lomi, Alessandro, 2011. "Network influence and organizational performance: The effects of tie strength and structural equivalence," European Management Journal, Elsevier, vol. 29(5), pages 389-403.
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    14. Arshinder & Kanda, Arun & Deshmukh, S.G., 2008. "Supply chain coordination: Perspectives, empirical studies and research directions," International Journal of Production Economics, Elsevier, vol. 115(2), pages 316-335, October.
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    16. Bond, Brenda J. & Gittell, Jody Hoffer, 2010. "Cross-agency coordination of offender reentry: Testing collaboration outcomes," Journal of Criminal Justice, Elsevier, vol. 38(2), pages 118-129, March.
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    19. Mascia, Daniele & Di Vincenzo, Fausto & Cicchetti, Americo, 2012. "Dynamic analysis of interhospital collaboration and competition: Empirical evidence from an Italian regional health system," Health Policy, Elsevier, vol. 105(2), pages 273-281.

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