In Need of Renewal Rather Than Reconciliation: Why We Cannot Be Satisfied With Hospital Management’s Status Quo; Comment on “Dual Agency in Hospitals: What Strategies Do Managers and Physicians Apply to Reconcile Dilemmas Between Clinical and Economic Considerations?”

Document Type : Commentary


Department of Health Sciences, Fulda University of Applied Sciences, Fulda, Germany


Activity-based payment systems enforce Israeli and German hospital professionals to continuously balance clinical and economic considerations. As argued this status quo is unsatisfactory due to two reasons. First, professional hybridity in hospital management is restricted to the physician versus manager dichotomy rather than a multifaceted-identity framework. Second, by depending mostly on serendipity rather than hospital professionals’ organizational leeway applied reconciliation strategies seem extremely temporarily and brittle. As concluded, alternative models of hospital funding and organization such as global budgets are urgently needed. In addition, hospital professionals have to be empowered to make effectively us from their hybrid identities.


  • epublished Author Accepted Version: February 19, 2022
  • epublished Final Version: March 13, 2022
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Volume 11, Issue 10
October 2022
Pages 2340-2342
  • Receive Date: 14 October 2021
  • Revise Date: 10 February 2022
  • Accept Date: 16 February 2022
  • First Publish Date: 19 February 2022