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An Exploratory Study of Organization Design Configurations in Health Care Delivery Organizations

Author: MICK SHEPPECK and JACK MILITELLO
Published in JHHSA, Vol. 37 No. 1

Organizations are configurations of variables that support each other to achieve customer satisfaction. Based on Treacy and Wiersema (1995), we predicted the emergence of two configurations, one supporting a product leadership stance and one predicting the customer intimate approach from a set of 73 for profit health care clinics. In addition, we predicted the emergence of a configuration where the scores on most variables were near the mean for each variable. Using cluster analysis and discriminant function analysis, we identified three configurations: one a "master of two" strategy, one "stuck-in-the- middle," and one showing scores well below the mean on most variables. The implications for organization design and manager actions in the health care industry are discussed.

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