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      A comparison of decision-making by physicians and administrators in healthcare settings

      research-article
      Author(s): 1 , 1 ,
      Publication date (Electronic):
      Journal: Critical Care
      Publisher: BioMed Central

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          Abstract

          Physicians and administrators are committed to the same goal of providing quality care at affordable costs. Their perceptions of each other and their resulting behaviors, however, may lead to conflict. We offer some insight into these perceptions and behaviors, and provide a framework to improve communication and to reduce misunderstanding.

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          A trickle-down model of organizational justice: relating employees' and customers' perceptions of and reactions to fairness.

          T Masterson (2001)
          This study developed and tested a trickle-down model of organizational justice that hypothesized that employees' perceptions of fairness should affect their attitudes toward the organization, subsequently influencing their behaviors toward customers. In turn, customers should interpret these behaviors as signals of fair treatment, causing them to react positively to both the employee and the organization. The model was tested on a sample of 187 instructors and their students. The results revealed that instructors who perceived high distributive and procedural justice reported higher organizational commitment. In turn, their students reported higher levels of instructor effort, prosocial behaviors, and fairness, as well as more positive reactions to the instructor. Overall, the results imply that fair treatment of employees has important organizational consequences because of customers' attitudes and future intentions toward key service employees.
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            Effects of training in procedural justice on perceptions of disciplinary fairness by unionized employees and disciplinary subject matter experts.

            Steven G. Latham, Jason Cole (1997)
            A training program, based on procedural justice theory, was developed for teaching supervisors to take effective disciplinary action with employees. Canadian supervisors of unionized employees were randomly assigned to the training (n = 35) or the control group (n = 36). Analyses of variance revealed that both supervisory self-efficacy and outcome expectancies were significantly higher in the training than in the control conditions. Following simulated role-play exercises derived from organizational incidents, both unionized employees and disciplinary subject matter experts (managers, union officials, and attorneys) rated the trained supervisors higher on disciplinary fairness behavior than the supervisors in the control group. Self-efficacy was found to mediate the relationship between training and perceptions of disciplinary fairness.
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              Perceptions of Systemic Justice: The Effects of Distributive, Procedural, and Interactional Justice

              Constant D. Beugre, Robert A. Baron (2001)
              Article 0 comments Cited 19 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Crit Care
                Title: Critical Care
                Publisher: BioMed Central (London )
                ISSN (Print): 1364-8535
                ISSN (Electronic): 1466-609X
                Publication date (Print): 2006
                Publication date (Electronic): 5 September 2006
                Volume: 10
                Issue: 5
                Page: 163
                Affiliations
                [1 ]Department of Pediatrics, University of British Columbia, Children's Hospital Rm K4-105, 4480 Oak Street, Vancouver, British Columbia, Canada V6H 3V4
                Article
                Publisher ID: cc5028
                DOI: 10.1186/cc5028
                PMC ID: 1751052
                PubMed ID: 16959045
                SO-VID: 00e96a63-c677-450c-acc1-38b603891ca5
                Copyright © Copyright © 2006 BioMed Central Ltd
                History
                Categories
                Subject: Commentary

                ScienceOpen disciplines: Emergency medicine & Trauma
                Data availability:
                ScienceOpen disciplines: Emergency medicine & Trauma

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