Sisäinen yrittäjyys ja sen esteet terveydenhuollossa

: Thomas Lemström, Juha V Virtanen

Publisher: Hallinnon Tutkimuksen Seura

: 2014

: Hallinnon Tutkimus

Intrapreneurship is a mechanism for organizational self-renewal, and it is connected to differentiation, organizational learning, and innovation. On the individual level intrapreneurship is an expression of social deviance. Entrepreneurs give voice to divergent thinking and possess divergent attitudes towards risk-taking. Empirical studies on health care intrapreneurship (HCI) are a rarity. This study focuses on identifying and analysing the disincentives of HCI. The theoretical framework draws from literatures on intrapreneurship and health care management.
The data were collected in semi-structured interviews with 53 managers, doctors, and nurses at four health care organizations. The organizations differ in profile and structure, and together they provide a relatively comprehensive view of Finnish health care workplaces. Participant observations were added to the corpus that was subjected to qualitative and interpretative content analysis.
The study identifies several disincentives of HCI. They include problematic structures, practices, norms, attitudes and conceptualizations. They can be primarily associated with characteristics of individuals or workplaces, management and leadership practices, or organizational structures and culture. Practical recommendations for organizational development and education are offered. The study contributes to scientific knowledge regarding both internal and external determinants of intrapreneurship in organizations and workplaces.
Intrapreneurship is a mechanism for organizational self-renewal, and it is connected to differentiation, organizational learning, and innovation. On the individual level intrapreneurship is an expression of social deviance. Entrepreneurs give voice to divergent thinking and possess divergent attitudes towards risk-taking. Empirical studies on health care intrapreneurship (HCI) are a rarity. This study focuses on identifying and analysing the disincentives of HCI. The theoretical framework draws from literatures on intrapreneurship and health care management.
The data were collected in semi-structured interviews with 53 managers, doctors, and nurses at four health care organizations. The organizations differ in profile and structure, and together they provide a relatively comprehensive view of Finnish health care workplaces. Participant observations were added to the corpus that was subjected to qualitative and interpretative content analysis.
The study identifies several disincentives of HCI. They include problematic structures, practices, norms, attitudes and conceptualizations. They can be primarily associated with characteristics of individuals or workplaces, management and leadership practices, or organizational structures and culture. Practical recommendations for organizational development and education are offered. The study contributes to scientific knowledge regarding both internal and external determinants of intrapreneurship in organizations and workplaces.