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Organizational Theory

The first stage of evolution in organizational theory is “entrepreneurial” and it is characterized by high innovation and high creativity. The second stage is “collectivity” characterized by the members having high cohesion and commitment towards the organization. “Formalization and control” is a stage where the goals of the organization are institutionalizing and maintaining stability of the organization. The last stage is called the “elaboration” stage and it mainly involves expansion ad decentralization of the organization.

Every step should incorporate all the forces that affect the organization at any given time (Cameron and Whetten, 1987). There are many schools of organization theory; my preferred school of organizations as structures of action school of organizational theory. This is where the organization has a great deal of division of labor and it is highly centralized in decision making. In this school people’s knowledge and skills is more important than the machines and equipments used in the organization. This school has very few levels of hierarchy and there are low numbers of managers.

This school of organization is favorable because each and every person in the organization carries out their work without a lot of interference from other employees of the organization. In the last fifty

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years the environment context of the health organizations has been changing and this has led to the emergence of the following organizations; Long term care facilities are aimed at providing skilled nursing services or rehabilitative services whereas residential services are environments that have been sheltered and they do not offer any skilled health care.

Ambulatory care centers which include surgical centers and imaging centers have also come up. Health care agencies have also emerged and their purpose is to offer health care at home and this exercise is carried out by nurses or therapists. Another organization that has come up is the temporary service agencies whose work is to provide health care workers and nurses to hospitals.

There are also managed health care organizations which are divided into; Health maintenance organization, point of service plans and the preferred provider organizations. There are also inter-organizational relationships which can either be horizontal or vertical. Horizontal integration is that arrangement by organizations that provide similar services while vertical integration is between organizations that are not similar but related so that they provide a number of services together.

With respect to the evolution of organizational theory health organizations have changed in the following ways; they start by planning the prerequisites which involves gathering of community support so as to come up with a strong planning team so as to make sure the health program will meet the needs of the community. Then there is the aspect of problem analysis which involves assessment of the community needs so as to provide a health service that is mostly needed by the community.

Knowledge exploration involves identification of first hand problems and coming up with alternative ways to solve the problems by use of experts in the problem area. The health program is then designed and it should realistically respond to the health problems that had been identified. Then there is program evaluation, implementation and operation which involve carrying out of implementation of the proposed health program on a pilot basis which is then continuously evaluated and fine-tuned to ensure it is operating as it was designed to do.

Once the program is operational there should be continuous adjustments to the organization to find out its highest level of production (Scott et al, 2000). REFERENCES LIST Marshall Scott Poole, Andrew H. Van De Ven, Kevin Dooley (2000), Organizational change and innovation processes: theory and methods for research, Oxford University Press, US 2000. Cameron, K. S. , Whetten, D. A and Kim. M, (1987) “Organizational dysfunctions of decline” Academy of Management Journal 30: 126-128.

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