“…On the basis of the definitions provided in Section 1, and the themes identified in Section 3, the pressures and influences on merger decision‐making for the studied organisations could be interpreted as follows: - Regulative pressures: the explicit and external pressures created by changing funding models, growing accountability and compliance requirements and their associated increasing costs, a relatively new devolved model of governance, and the policy environment. Health care organisations, due to their dependency on government funding, have been shown to be particularly vulnerable to coercive pressures;
- Normative pressures: As norms “specify how things should be done, and define legitimate means to pursue valued ends,” merging CHS could be interpreted as being subjected to 2 contrasting sets of normative pressures. Firstly, changing funding models and a widening range of competitors for resources indirectly imply that, to stay viable, CHS must gain a bigger financial footprint, wider geographical coverage, and greater organisational sophistication in the form of better administrative systems and specialised expertise.
…”