This research develops an integrated systems model of entrepreneurship management as a method for achieving health care organizational survival and growth. Specifically, it analyzes current health care environment challenges, identifies roles of managers and discusses organizational theories that are relevant to the health care environment, outlines the role of entrepreneurship in health care, and describes the entrepreneurial manager in the entrepreneurial management process to produce desirable organizational outcomes. The study concludes that as current health care environment continues to show intense competition, entrepreneurial managers are responsible for creating innovations, managing change, investing in resources, and recognizing opportunities in the environment to increase organizational viability.
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References
1.
AdizesI.Corporate life cycles.Prentice-Hall, Englewood Cliffs, NJ, 1988.
2.
AlvarezS. and BarneyJ. “Entrepreneurial capabilities”. In Entrepreneurship as strategy: Competing on the entrepreneurial edge, MeyerG.D. and HeppardK.A., (Eds). Thousand Oaks: Sage Publishers, 2000: 63–82.
3.
AlvarezS., BusenitzL.W. “The entrepreneurship of resource-based theory.” Journal of Management27, no. 6 (Nov-Dec 2001): 755–775.
4.
AmitR.H., BrighamK. and MarkhamG.D.Entrepreneurial management as strategy. In Entrepreneurship as strategy: Competing on the entrepreneurial edge, MeyerG.D. and HeppardK.A., (Eds). Thousand Oaks: Sage Publishers, 2000: 83–99.
5.
BainesS. and WheelockJ. “Working for the family business: Family factors in the survival, maintenance and growth of microbusinesses.” International Small Business Journal17, no.1 (1998): 12–31.
6.
BazzoliG.J., LosassoA., ArnouldR. and ShalowitzM.U. “Hospital reorganization and restructuring achieved through merger.” Health Care Management Review27, no. 1 (2002): 7–20.
7.
BlockZ. and MacMillanI.C.Corporate venturing: Creating new businesses within the firm. Boston: Harvard Business School, 1993.
8.
BurgelmanR.A. “A model of interaction of strategic behavior, corporate context and the concept of strategy.” Academy of Management Review8 (1983): 61–70.
9.
ChellE., HaworthJ. and BrearleyS.The entrepreneurial personality: Concepts, cases and categories. London: Routledge, 1991.
10.
FloydS.W. and WooldridgeB. “Knowledge creation and social networks in corporate entrepreneurship: The renewal of organizational capability” Entrepreneurship: Theory and Practice23, no.3 (1999): 123–139.
11.
FoxP.D. “An overview of managed care.” In: The Managed Health Care Handbook, 4th Ed. KongstvedtP.R. (Ed). Maryland: Aspen, 2001: 3–16.
12.
GortonM. “Overcoming the structure - agency divide in small business research.” International Journal of Entrepreneurial Behaviour & Research6, no.5 (2000): 276–292.
13.
GuoK.L. (2002). “Roles of managers in academic health centers: Strategies for the managed care environment.” The Health Care Manager20, no. 3(2002): 43–58.
14.
GuoK.L. (2001). “Survival of academic medical centers in the managed care environment: The roles of CEOs” Managed Care Quarterly9, No. 4(2001): 5–8.
15.
HellriegelD., SlocumJ.W.Jr. and WoodmanR.W.Organizational behavior, 9th ed. Cincinnati, OH: South-Western College Publishing, 2001.
16.
HemphillJ.K. “Job descriptions for executives” Harvard Business Review37, no.5(1959): 55–67.
17.
HornsbyJ.S., KuratkoD.F. and MontagnoR.V. “Perception of internal factors for corporate entrepreneurship: A comparison of Canadian and U.S. managers.” Entrepreneurship: Theory and Practice24, no. 2 (1999): 9–18.
18.
KongstvedtP.R. “Elements of the management control and governance structure”. In: The Managed Health Care Handbook, 4th Ed. KongstvedtP.R. (Ed). Maryland: Aspen Publishers, 2001: 73–80.
19.
KovnerA.R. and ChanningA.H. “Managerial contributions to effective performance in health services organizations.” In Health Services Management: Readings and Commentary, 6th Ed. KovnerA.R. and NeuhauserD., (Eds). Chicago, IL: Health Administration Press, 1997: 63–81.
20.
KuratkoD.F. and HodgettsR.M.Entrepreneurship: A contemporary approach, 4th Ed. Forth Worth, TX: Dryden Press, 1998.
21.
MeyerG.D. and HeppardK.A. “Entrepreneurial strategies: The dominant logic of entrepreneurship.” In Entrepreneurship as strategy: Competing on the entrepreneurial edge, MeyerG.D. and HeppardK.A., (Eds). Thousand Oaks: Sage Publications, 2000: 1–22.
22.
MinerJ.B.A psychological typology of successful entrepreneurs. Connecticut: Quorum Books, 1997.
23.
MintzbergH.The nature of managerial work. New Jersey: Harper-Row, 1973.
24.
MitchellT.R.People in organizations: An introduction to organizational behavior. 2nd ed. New York: McGraw-Hill, 1982.
25.
MoonM.J. “The pursuit of managerial entrepreneurship: Does organization matter?” Public Administration Review59, no. 1 (1999): 31–46.
26.
MorrisM.H.KuratkoD.F. and SchindehutteM.Toward integration. Understanding entrepreneurship through frameworksInternational Journal of Entrepreneurship and Innovation2, no. 1 (2001): 35–49.
27.
NobreA.L. “Entrepreneurship as an attitude: A challenge to innovative managers.” The International Journal of Entrepreneurship and Innovation3, no. 1 (2002): 17–25.
28.
PaulyM.V., HillmanA.L.KimM.S. and BrownD.R. “Competitive behavior in the HMO marketplace: HMO do not appear to extract more profits from consumers in markets dominated by for-profit firms than in markets where their share is smaller.” Health Affairs21, no.1: (2002): 194–202.
29.
RakichJ.S., LongestB.B.Jr. and DarrK.Managing health services organizations, 3rd ed. Baltimore, MD: Health Professions Press, 1992.
30.
SaylesL.R.Managerial Behavior: Administration in Complex Organizations. New York: McGraw-Hill, 1964.
31.
ShaneS. and VenkataramanS. “The promise of entrepreneurship as a field of research.” Academy of Management Review.25, no.1 (2001): 217–227.
32.
SharmaP. and ChrismanJ.J. “Toward a reconciliation of the definitional issues in the field of corporate entrepreneurship.” Entrepreneurship: Theory and Practice23, no. 3: (1999): 11–22.
33.
ShortellS.M. and KaluznyA.D. “Organization theory and health services management”, In: Essentials of health care management, ShortellS.M. and KaluznyA.D., (Eds). Albany, New York: Delmar Publishers, 1997: 1–33.
34.
SinayT. and CampbellC.R. “Strategies for more efficient performance through hospital merger.” Health Care Management Review27, no.1 (2002): 33–49.
35.
StewartR.Managers and their jobs: A study of the similarities and differences in the ways managers spend their time. London: Macmillan, 1967.
36.
ThompsonJ.L. “A strategic perspective of entrepreneurship.” International Journal of Entrepreneurship Behaviour & Research5, no. 6 (1999): 279–296.
37.
WestburyS.A.Jr. “Meeting the challenge: The health care executive's role.” Hospital & Health Services Administration33, no. 3 (1998): 275–281.
38.
ZajacE.J. and D'AunnoT.A. “Managing Strategic Alliances.” In Essentials of health care management, ShortellS.M. and KaluznyA.D., (eds). New York: Delmar Publishers, 1997: 328–354.
39.
ZuckermanH.S. “Redefining the role of the CEO: Challenges and conflicts.” Hospital and Health Services Administration34, no. 1 (1989): 25–38.
40.
ZuckermanH.S. and DowlingW.L. (1997). “The managerial role”, In Essentials of health care management, ShortellS.M. and KaluznyA.D., (eds). New York: Delmar Publishers, 1997:34–62.
