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Effects of downsizing practices on the performance of hospitals

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  • Clint Chadwick
  • Larry W. Hunter
  • Stephen L. Walston

Abstract

Research has found that downsizing is not generally followed by improved organizational performance. Using a sample of hospitals that recently downsized, we evaluate the effects on performance of the human resource management (HRM) practices used in layoffs. Strategic HRM theory suggests that practices can have an impact on performance outcomes. We find that showing consideration for employees' morale and welfare during downsizing is positively related both to perceived success of downsizing and to financial performance following layoffs. Advance notice of layoffs is positively related to subsequent financial performance, but the provision of extended insurance to laid‐off employees is negatively related to financial performance. Planned redesign of work structures is positively related to perceived success, but has neutral to negative effects on financial performance. Copyright © 2004 John Wiley & Sons, Ltd.

Suggested Citation

  • Clint Chadwick & Larry W. Hunter & Stephen L. Walston, 2004. "Effects of downsizing practices on the performance of hospitals," Strategic Management Journal, Wiley Blackwell, vol. 25(5), pages 405-427, May.
    • Handle: RePEc:bla:stratm:v:25:y:2004:i:5:p:405-427
    DOI: 10.1002/smj.383
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    Cited by:

    1. Chai, D.H., 2010. "The Impact of Foreign Corporate Ownership on Downsizing and Labour Cost," Working Papers wp402, Centre for Business Research, University of Cambridge.
    2. Kihun Kim & Zulfiquer Ali Haider & Zhenyu Wu & Junsheng Dou, 2020. "Corporate Social Performance of Family Firms: A Place-Based Perspective in the Context of Layoffs," Journal of Business Ethics, Springer, vol. 167(2), pages 235-252, November.
    3. Antonio Vera & Pythagoras Petratos & Torsten Oliver Salge, 2018. "A widening gap? Static and dynamic performance differences between specialist and general hospitals," Health Care Management Science, Springer, vol. 21(1), pages 25-36, March.
    4. Lars Schweizer & Andreas Nienhaus, 2017. "Corporate distress and turnaround: integrating the literature and directing future research," Business Research, Springer;German Academic Association for Business Research, vol. 10(1), pages 3-47, June.
    5. Ritter-Hayashi, D. & Knoben, Joris & Vermeulen, P.A.M., 2018. "Success Belongs to the Flexible Firm : How Labor Flexibility Can Retain Firm Innovativeness in Times of Downsizing," Other publications TiSEM 749e1bae-6946-40cb-a5fc-e, Tilburg University, School of Economics and Management.
    6. Kao, Chun-Lin & Chen, Ming-Yuan, 2020. "Employee downsizing, financial constraints, and production efficiency of firms," International Review of Economics & Finance, Elsevier, vol. 68(C), pages 59-73.
    7. Leung, Kwok & Wang, Zhongming & Hon, Alice H.Y., 2011. "Moderating effects on the compensation gap between locals and expatriates in China: A multi-level analysis," Journal of International Management, Elsevier, vol. 17(1), pages 54-67, March.
    8. Piacenza, Massimiliano & Turati, Gilberto & Vannoni, Davide, 2010. "Restructuring hospital industry to control public health care expenditure: The role of input substitutability," Economic Modelling, Elsevier, vol. 27(4), pages 881-890, July.
    9. Friebel, Guido & Heinz, Matthias & Zubanov, Nick, 2016. "The Effect of Announced Downsizing on Workplace Performance: Evidence from a Retail Chain," IZA Discussion Papers 9739, Institute of Labor Economics (IZA).
    10. Sanja Pekovic & Marcus Wagner & Sebastian Vogt, 2022. "Differential effects of corporate social responsibility on downsizing: Evidence from the United States," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 29(4), pages 1021-1033, July.
    11. Hee-jung Cho & Ji-Young Ahn, 2018. "The Dark Side of Wars for Talent and Layoffs: Evidence from Korean Firms †," Sustainability, MDPI, vol. 10(5), pages 1-18, April.
    12. Brunetta, Federica & Boccardelli, Paolo & Lipparini, Andrea, 2015. "Central positions and performance in the scientific community. Evidences from clinical research projects," Journal of Business Research, Elsevier, vol. 68(5), pages 1074-1081.
    13. Massimiliano Piacenza & Gilberto Turati & Davide Vannoni, 2007. "Hospital Industry Restructuring and Input Substitutability: Evidence from a Sample of Italian Hospitals," CERIS Working Paper 200703, CNR-IRCrES Research Institute on Sustainable Economic Growth - Torino (TO) ITALY - former Institute for Economic Research on Firms and Growth - Moncalieri (TO) ITALY.
    14. Eleni T. Stavrou & Chris Brewster, 2005. "The Configurational Approach to Linking Strategic Human Resource Management Bundles with Business Performance: Myth or Reality?," management revue - Socio-Economic Studies, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 16(2), pages 186-201.
    15. Cirillo, Alessandro & Muñoz-Bullón, Fernando & Sánchez-Bueno, María J. & Sciascia, Salvatore, 2022. "Employee downsizing and sales internationalization strategy in family firms," Journal of Family Business Strategy, Elsevier, vol. 13(2).
    16. James P. Guthrie & Deepak K. Datta, 2008. "Dumb and Dumber: The Impact of Downsizing on Firm Performance as Moderated by Industry Conditions," Organization Science, INFORMS, vol. 19(1), pages 108-123, February.
    17. Tsao, Chiung-Wen & Le Breton-Miller, Isabelle & Miller, Danny & Chen, Shyh-Jer, 2021. "Firing managers: The benefits of family ownership and costs of family management," Journal of Family Business Strategy, Elsevier, vol. 12(3).
    18. Eleni Stavrou & George Kassinis & Alexis Filotheou, 2007. "Downsizing and Stakeholder Orientation Among the Fortune 500: Does Family Ownership Matter?," Journal of Business Ethics, Springer, vol. 72(2), pages 149-162, May.
    19. Ogbonnaya, Chidiebere & Dhir, Amandeep & Maxwell-Cole, Alexander & Gorny, Tomasz, 2022. "Cost-cutting actions, employment relations and workplace grievances: Lessons from the 2008 financial crisis," Journal of Business Research, Elsevier, vol. 152(C), pages 265-275.
    20. Muñoz-Bullón, Fernando & Sánchez-Bueno, María José, 2008. "Does downsizing improve organizational performance? An analysis of Spanish manufacturing firms," DEE - Working Papers. Business Economics. WB wb083007, Universidad Carlos III de Madrid. Departamento de Economía de la Empresa.
    21. Mariola Ciszewska-Mlinaric, 2009. "The Adaptive Capabilities of Organizations. Case of Polish Public Hospitals," Contemporary Economics, University of Economics and Human Sciences in Warsaw., vol. 3(3), September.
    22. Franco GANDOLFI & Franco GANDOLFI, 2009. "Phases of Cost Cutting: Downsizing is Dead; Long Live the Downsizing Phenomenon," REVISTA DE MANAGEMENT COMPARAT INTERNATIONAL/REVIEW OF INTERNATIONAL COMPARATIVE MANAGEMENT, Faculty of Management, Academy of Economic Studies, Bucharest, Romania, vol. 10(5), pages 864-876, December.

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