A gap between System Theory and Practice in the Healthcare sector
This master thesis explores the relationship between the structure of general hospitals and the autonomy level of elderly patients and family companions. The focus is on value-adding-process and solution shop quasi-flo2w. Quasi-flows are flow structures designed over traditional functional departments. Autonomy is the level of participation and involvement in the medical decision-making process. The central research question: What is the relationship between value-adding-process and solution shop quasi-flow structures of general hospitals and the autonomy level of elderly patients and family companions? The aim of the research is twofold; a theoretical exploration of the relationship between quasi-flows and the autonomy level, and furthermore an empirical research of the theoretical expectations. The research is performed by a comparative case study in a general hospital. Qualitative and quantitative methods are used. Results show that the quasi-flows result in moderate values for the parameters of De Sitter (1994;1997). Therefore, the autonomy level of elderly patients and family companions is increased in the quasi-flows in comparison to the functional departments. However, the potential of flow structures is not achieved in the quasi-flows. The complexity level of the quasi-flows is of influence on the design of the structure and consequences for the autonomy level.
Faculteit der Managementwetenschappen