Date of Award


Publication Type

Master Thesis

Degree Name



Business Administration


Health Sciences, Health Care Management.


Prince, Michael,




Driven by spiraling costs and the increasing demands of consumers, workers and funding bodies, change is an ongoing and inevitable condition in the health care industry. Traditional structures, high professional differentiation and provider-centred processes have resulted in an inefficient system that requires radical change to meet the new demands of the environment and the market place. The literature on the shift towards decentralized organizational models such as Program Management, was reviewed. A Readiness Model was developed based upon the critical factors for successful implementation of Program Management as identified in the literature. A two part field study was then conducted in a multidivisional community hospital. Results confirmed that the critical factors identified in the literature were also viewed as critical factors in the study setting. Correlational analysis indicated a positive relationship between the perceived degree of development of the critical factors and the perceived success of implementation of Program Management. In the hospital studied, results for perceived readiness and perceived success ranked the hospital divisions highest to lowest for Rehabilitation, Regional Children's Centre, Long Term Care and Acute Care. The most important factors were perceived to be interdisciplinary teamwork, a philosophy of client-centred care, and shared vision and values. The results suggested a model incorporating the concept of the critical factors with the concept of the team-based organization. Self directed teams must be supported by the critical factors as they develop processes to deliver client-centred care to specific program populations. The Readiness Model may be used by healthcare organizations to evaluate the level of development of critical factors and to target areas requiring further development in order to facilitate successful implementation of decentralized structures. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis1996 .B72. Source: Masters Abstracts International, Volume: 37-01, page: 0224. Adviser: Michael Prince. Thesis (M.B.A.)--University of Windsor (Canada), 1996.