SciELO - Scientific Electronic Library Online

 
vol.31 issue2Manufactured nanomaterials: New challenges for public health author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista Portuguesa de Saúde Pública

Print version ISSN 0870-9025

Abstract

MORAIS, Luis F.  and  GRACA, Luis M.. A glance at the competing values framework of Quinn and the Miles & Snow strategic models: Case studies in health organizations. Rev. Port. Sau. Pub. [online]. 2013, vol.31, n.2, pp.129-144. ISSN 0870-9025.  https://doi.org/10.1016/j.rpsp.2012.12.006.

The present research seeks to describe and understand how strategy influences leadership and how this in turn interacts in the process of innovation and change in health organizations. This is an exploratory and descriptive study that involved five health organizations: four Portuguese and one Spanish. We used a mixed approach of research (qualitative and quantitative), which enabled us to understand, through case study, how strategy and leadership were articulated with innovation in these five health organizations and the model of the Competing Values Framework of Quinn (organizational culture and leadership), suitably adapted, have proven heuristic power and are able to be applied to healthcare organizations. Public and private healthcare organizations, as well as public&-private partnerships, can be tracked and monitored in their processes of innovation and change in order to understand its kind of culture, leadership or organizational strategy adopted. Health organizations coexist in a continuum, where the environment (internal and external) and time are key factors which determine the strategy to be adopted. Here too depending on the dynamic and complex reality where the organization moves, there are no pure types. There is indeed a great organizational plasticity and flexibility. Leaders usually carry the formal authority by circular normative. They are not pairs (or primi inter pares). Instead they are, sometimes, in a position of superiority, when the best thing is partnership, collaboration, cooperation, building consensus and cooperation with all stakeholders, in order that they are the real protagonists and facilitators of change and innovation.

Keywords : Strategy; Leadership; Innovation; Change; Health organizations; Case study.

        · abstract in Portuguese     · text in English     · English ( pdf )