A gap between System Theory and Practice in the Healthcare sector

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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