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Organizational design theorists argue that organizations adopt matrix (departmentalized) structures for technical reasons, to solve problems of internal coordination and information processing. Research on interorganizational networks suggests that organizations adopt new structures because of mimetic forces and normative pressures. We examined the effects of both sets of factors on the adoption of matrix management in a group of hospitals. Multivariate analyses revealed that matrix adoption is influenced not only by task diversity, but also by sociometric location, the dissemination of information, and the cumulative force of adoption in interorganizational networks. Such variables exert little influence on decisions to abandon matrix programs, however.


  • Aldrich H. , Whetten D. A. 1981. Organization-sets, action sets, and networks: Making the most of simplicity. In Nystrom P. C.Starbuck W. H. (Eds.), Handbook of organization design:385–408. London: Oxford University Press. Google Scholar
  • Allison P. D. 1982. Discrete-time methods for the analysis of event histories. In Leinhardt S. (Ed.), Sociological methodology:61–98. San Francisco: Jossey-Bass. Google Scholar
  • Allison P. D. 1984. Event history analysis: Regression for longitudinal event data.Beverly Hills, CA: Sage. Google Scholar
  • American Hospital Association. 1962-79. Annual guide issue.Chicago: American Hospital Association. Google Scholar
  • Andersen R. M. , Kaspar J. , Frankel M. R. , Associates . 1979. Total survey error.San Francisco: Jossey-Bass. Google Scholar
  • Becker M. 1970. Sociometric location and innovativeness: Reformulation and extension of the diffusion model. American Sociological Review, 35: 267–282. Google Scholar
  • Blau P. M. 1970. A formal theory of differentiation in organizations. American Sociological Review, 35: 201–218. Google Scholar
  • Bourgeois L. J. 1981. On the measurement of organizational slack. Academy of Management Review, 6: 29–39.LinkGoogle Scholar
  • Burns L. R. 1982. The diffusion of unit management among United States hospitals. Hospital and Health Services Administration, 27(2): 43–57. Google Scholar
  • Burns L. R. 1985. Divisionalization and matrix management in hospitals: Structure and development.Paper presented at the annual meeting of the Association of University Programs of Health Administration, Washington, DC. Google Scholar
  • Burns L. R. 1989. Matrix management in hospitals: Testing theories of matrix structure and development. Administrative Science Quarterly, 34: 349–368. Google Scholar
  • Burt R. S. 1981. Innovation as a structural interest: Rethinking the impact of network position on innovation adoption. Social Networks, 3: 327–355. Google Scholar
  • Chandler A. D. 1962. Strategy and structure.Cambridge, MA: MIT Press. Google Scholar
  • Cole J. , Lipton T. 1977. The reputations of American medical schools. Social Forces, 55: 662–684. Google Scholar
  • Coleman J. , Katz E. , Menzel H. 1966. Medical innovation: A diffusion study.Indianapolis: Bobbs-Merrill. Google Scholar
  • Cyert R. M. , March J. G. 1963. A behavioral theory of the firm.Englewood Cliffs, NJ: Prentice-Hall. Google Scholar
  • Czepiel J. A. 1974. Word-of-mouth processes in the diffusion of a major technological innovation. Journal of Marketing Research, 11: 172–180. Google Scholar
  • Daft R. L. , Lengel R. H. 1984. Information richness: A new approach to managerial behavior and organization design. In Staw B. M.Cummings L. L. (Eds.), Research in organizational behavior, vol. 6: 191–233. Greenwich, CT: JAI Press. Google Scholar
  • Davis S. M. , Lawrence P. R. 1977. Matrix.Reading, MA: Addison-Wesley. Google Scholar
  • DiMaggio P. J. , Powell W. W. 1983. The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review, 48: 147–160. Google Scholar
  • Dollinger M. J. 1984. Environmental boundary spanning and information-processing effects on organizational performance. Academy of Management Journal, 27: 351–368.AbstractGoogle Scholar
  • Evan W. , Walker G. 1978. Interorganizational networks: A study of relations among hospitals.Paper presented at the annual meeting of the American Sociological Association, San Francisco. Google Scholar
  • Fennell M. L. , Warnecke R. B. 1988. The diffusion of medical innovations: An applied network analysis.New York: Plenum. Google Scholar
  • Fligstein N. 1985. The spread of the multidivisional firm, 1919-1979. American Sociological Review, 50: 377–391. Google Scholar
  • Galaskiewicz J. 1985. Professional networks and the institutionalization of a single mind set. American Sociological Review, 50: 639–658. Google Scholar
  • Galbraith J. 1972. Organization design: An information-processing view. In Lorsch J. W.Lawrence P. R. (Eds.), Organization planning: Cases and concepts:49–74. Homewood, IL: Irwin. Google Scholar
  • Galbraith J. 1973. Designing complex organizations.Reading, MA: Addison-Wesley. Google Scholar
  • Gardner E. 1989. Most hospitals spend years making information system buying decisions. Modern Healthcare, July 7: 58, 60. Google Scholar
  • Gardner E. 1990. Hospitals not in a hurry to plug in computers by the bedside. Modern Healthcare, July 16: 31, 34, 39–40, 42. Google Scholar
  • Granovetter M. 1985. Economic action and social structure: The problem of embeddedness. American Journal of Sociology, 91: 481–510. Google Scholar
  • Hannan M. T. , Freeman J. 1978. Internal politics of growth and decline. In Meyer M.Associates (Eds.), Environments and organizations:177–199. San Francisco: Jossey-Bass. Google Scholar
  • Hannan M. T. , Freeman J. 1984. Structural inertia and organizational change. American Sociological Review, 49: 149–164. Google Scholar
  • Heyssel R. M. , Gaintner J. R. , Kues I. W. , Jones A. A. , Lipstein S. H. 1984. Decentralized management in a teaching hospital. New England Journal of Medicine, 310: 1477–1480. Google Scholar
  • Jelinek R. , Munson F. , Smith R. 1971. SUM (Service Unit Management): An organizational approach to improved patient care.Battle Creek, MI: Kellogg Foundation. Google Scholar
  • Johnson G. V. , Tingey S. 1976. Matrix organizations: Blueprint of nursing care organization for the 80's. Hospital and Health Services Administration, 21(1): 27–39. Google Scholar
  • Kanter R. M. 1983. The change masters.New York: Simon & Schuster. Google Scholar
  • Kanter R. M. 1988. When a thousand flowers bloom: Structural, collective, and social conditions for innovation in organizations. In Staw B. M.Cummings L. L. (Eds.), Research in organizational behavior, vol. 10: 169–211. Greenwich, CT: JAI Press. Google Scholar
  • Katz E. 1957. The two-step flow of communication: An up-to-date report on an hypothesis. Public Opinion Quarterly, 21(1): 61–78. Google Scholar
  • Kelly D. , Amburgey T. L. 1991. Organizational inertia and momentum: A dynamic model of strategic change. Academy of Management Journal, 34: 591–612.LinkGoogle Scholar
  • Kimberly J. R. 1978. Hospital adoption of innovation: The role of integration into external informational environments. Journal of Health and Social Behavior, 19: 361–373. Google Scholar
  • Kimberly J. R. 1981. Managerial innovation. In Nystrom P. C.Starbuck W. H. (Eds.), Handbook of organizational design:84–104. New York: Oxford University Press. Google Scholar
  • Kimberly J. R. , Evanisko M. J. 1981. Organizational innovation: The influence of individual, organizational, and contextual factors on hospital adoption of technological and administrative innovations. Academy of Management Journal, 24: 689–713.LinkGoogle Scholar
  • Knight K. E. , McDaniel R. 1979. Organizations: An information systems perspective.Belmont, CA: Wadsworth. Google Scholar
  • Knoke D. 1982. The spread of municipal reform: Temporal, spatial, and social dynamics. American Journal of Sociology, 87: 1314–1339. Google Scholar
  • Kolodny H. F. 1979. Evolution to a matrix organization. Academy of Management Review, 4: 543–553.AbstractGoogle Scholar
  • Kovner A. 1972. The hospital administrator and organizational effectiveness. In Georgopolous B. (Ed.), Organizational research on health institutions:355–376. Ann Arbor: Institute for Social Research, University of Michigan. Google Scholar
  • Lawrence P. R. , Lorsch J. W. 1967. Organization and environment.Cambridge: Harvard University Press. Google Scholar
  • Lincoln J. R. 1982. Intra- (and inter-) organizational networks. In Bacharach S. (Ed.), Research in the sociology of organizations, vol. 1: 1–38. Greenwich, CT: JAI Press. Google Scholar
  • Luft H. S. , Robinson J. C. , Garnick D. W. , Maerki S. C. , McPhee S. J. 1986. The role of specialized clinical services in competition among hospitals. Inquiry, 23(1): 83–94. Google Scholar
  • March J. G. , Simon H. A. 1958. Organizations.New York: Wiley. Google Scholar
  • McKinney M. M. , Kaluzny A. D. , Zuckerman H. S. 1991. Paths and pacemakers: Innovation diffusion networks in multihospital systems and alliances. Health Care Management Review, 16(1): 17–23. Google Scholar
  • Meyer A. D. 1982. Adapting to environmental jolts. Administrative Science Quarterly, 27: 515–537. Google Scholar
  • Meyer J. W. , Rowan B. 1977. Institutionalized organizations: Formal structure as myth and ceremony. American Journal of Sociology, 83: 340–363. Google Scholar
  • Miles R. E. , Snow C. C. 1978. Organizational strategy, structure, and process.New York: McGraw-Hill. Google Scholar
  • Pearce J. A. 1983. The relationship of internal versus external orientations to financial measures of strategic performance. Strategic Management Journal, 4: 297–306. Google Scholar
  • Rogers E. M. 1983. Diffusion of innovations.New York: Free Press. Google Scholar
  • Rowan B. 1982. Organizational structure and the institutional environment: The case of public schools. Administrative Science Quarterly, 27: 259–279. Google Scholar
  • Russell L. B. 1979. Technology in hospitals: Medical advances and their diffusion.Washington, DC: Brookings Institution. Google Scholar
  • Scott W. R. 1983. Health care organizations in the 1980s: The convergence of public and professional control systems. In Meyer J. W.Scott W. R. (Eds.), Organizational environments:99–113. Beverly Hills, CA: Sage. Google Scholar
  • Scott W. R. 1990. Innovation in medical care organizations: A synthetic review. Medical Care Review, 47: 165–192. Google Scholar
  • Smith K. G. , Grimm C.M. , Gannon M. J. , Chen M.J. 1991. Organizational information processing, competitive responses, and performance in the U.S. domestic airline industry. Academy of Management Journal, 34: 60–85.LinkGoogle Scholar
  • Starkweather D. 1970. The rationale for decentralization in large hospitals. Hospital Administration, 15(2): 27–45. Google Scholar
  • Stevens R. 1989. In sickness and in wealth.New York: Basic Books. Google Scholar
  • Thompson J. D. 1967. Organizations in action.New York: McGraw-Hill. Google Scholar
  • Tolbert P. S. , Zucker L. G. 1983. Institutional sources of change in the formal structure of organizations: The diffusion of civil service reform, 1880-1935. Administrative Science Quarterly, 28: 22–39. Google Scholar
  • Tushman M. L. , Nadler D. A. 1978. Information processing as an integrating concept in organizational design. Academy of Management Review, 3: 613–624.LinkGoogle Scholar
  • Tushman M. L. , Romanelli E. 1985. Organizational evolution: A metamorphosis model of convergence and reorientation. In Cummings L. L.Staw B. M. (Eds.), Research in organizational behavior, vol. 7: 171–222. Greenwich, CT: JAI Press. Google Scholar
  • Van de Ven A. H. , Delbecq A. L. , Koenig R. 1976. Determinants of coordination modes within organizations. American Sociological Review, 41: 322–338. Google Scholar
  • Walker J. 1969. The diffusion of innovations among the American states. American Political Science Review, 63: 880–899. Google Scholar
  • Wholey D. , Burns L. R. 1993. Organizational transitions: Form changes by health maintenance organizations. In Bacharach S. (Ed.), Research in the sociology of organizations:forthcoming. Greenwich, CT: JAI Press. Google Scholar
  • Yamaguchi K. 1991. Event history analysis.Newburg Park, CA: Sage. Google Scholar
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