Strategy development in small hospitals: Stakeholder management in constrained circumstances

Rebecca Wells, Shoou Yih Daniel Lee, Jennifer McClure, Larry Baronner, Lisa Anne Davis

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations


Small hospitals form a vital part of the health care safety net, serving communities that would of ten otherwise lack acute care. It is, therefore, important to understand how strategies unfold in these organizations. We used semistructured interviews to ask chief executive officers (CEOs) of seven small hospitals in Pennsylvania how they viewed their competitive environments and how their strategies evolved. Systematic semi-inductive analyses of these data reveal two major themes. First, CEOs of small hospitals perceive highly dynamic and hostile environments but do not stress complexity. Second, continual negotiations with key stakeholders facilitate the translation of CEOs' insights into organizational strategies.

Original languageEnglish (US)
Pages (from-to)218-228
Number of pages11
JournalHealth Care Management Review
Issue number3
StatePublished - Jan 1 2004

All Science Journal Classification (ASJC) codes

  • Leadership and Management
  • Health Policy
  • Strategy and Management


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