1993
DOI: 10.1177/095148489300600202
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TQM as a Managerial Innovation: Research Issues and Implications

Abstract: TQM is a managerial innovation that is likely to have profound consequences on the delivery of health services. As an innovation, it is important that attention be given to the fundamental research issues associated with implementation and impact. Using a variance and process perspective, selected research issues are identified within organizations and among work units within these organizations. The variance perspective at both the organizational and work unit level considers the explanation of impact and ado… Show more

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Cited by 16 publications
(8 citation statements)
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“…Greening and Gray (1994) suggest that large organizations are more likely to have formal internal structures to manage and respond to external threats; and, as a result, are in a better position to handle these challenges effectively. Slack resources also provide organizations with the flexibility to experiment with new strategies and lower the risk of such experimentation (Kaluzny et al, 1993). On the other hand, external challenges are more likely to have a negative impact on mid-sized organizations that are too big to cater to niches, but not large enough to have sufficient resources to withstand significant changes in the external environment.…”
Section: Discussionmentioning
confidence: 99%
“…Greening and Gray (1994) suggest that large organizations are more likely to have formal internal structures to manage and respond to external threats; and, as a result, are in a better position to handle these challenges effectively. Slack resources also provide organizations with the flexibility to experiment with new strategies and lower the risk of such experimentation (Kaluzny et al, 1993). On the other hand, external challenges are more likely to have a negative impact on mid-sized organizations that are too big to cater to niches, but not large enough to have sufficient resources to withstand significant changes in the external environment.…”
Section: Discussionmentioning
confidence: 99%
“…Larger organizations have the flexibility to strategize and adopt riskier structures and procedures as extra resources reduce the risk of failure (Kaluzny et al1993). Similarly, system affiliation provides hospitals with increased access to resources including improved access to capital, management resources, and information systems and technologies (Banaszak-Holl et al 2002; Tennyson & Fottler, 2000).…”
Section: Conceptual Frameworkmentioning
confidence: 99%
“…For Tal to succeed, top management commitment is crucial (Koska 1990;McLaughlin and Kaluzney 1990;Kaluzney et al 1993, AI-Assaf and Schmele 1993, AIAssaf 1994. When respondents were asked if they were willing to provide time to Tal, the average response score was 1.75, which is close to strong agreement.…”
Section: Discussionmentioning
confidence: 99%