TransitioningFromClosedtoOpenSystems.docx - Health systems...

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Health systems in industrialized countries are highly structured and were developed in a context of economic stability, with a moderate pace of social change, efficient systems for taxation, strong regulatory frameworks, and sufficient numbers of skilled personnel to run these institutions Closed systems are completely self-contained, are not influenced by external events and eventually must die. Open systems, on the other hand, interact with their external environment by exchanging materials, energies, or information, and are influenced by or can influence this environment; they must adjust to the environment to survive over time. Health systems are open and must be approached from this perspective. A prevalent example of a management system built on a closed system model is a machine bureaucracy, which is still, to various degrees the prevailing paradigm in most organizations (Brown, 1992; Beetham, 1996; Du Gay, 2000). The main objective of a bureaucracy is to promote efficiency and control in systems through the following: a fixed division of labor; a hierarchy of offices; a set of general rules that govern performance; a separation of personal from official property and rights; selection of personnel on the basis of technical qualifications; and employment viewed as a career by participants . One possible explanation for the existence of organizations that continuously remain in a steady state condition is that they reside in a relatively static environment (e.g. some not-for-profit organisations). When the environment is relatively static, stable, and predictable, interactions and relationships
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between the organisation and its environment are trivial and, thus, can be ignored or otherwise managed (Robbins, 1990).
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  • Summer '16
  • Elvira Phelps
  • Week 2 Discussion, Meyer, nursing services delivery, services delivery theory

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