Ya. Ozcan et al., ORGANIZATIONAL PERFORMANCE IN THE COMMUNITY MENTAL-HEALTH-CARE SYSTEM- THE NEED FULFILLMENT PERSPECTIVE, Organization science, 8(2), 1997, pp. 176-191
This paper addresses an important problem in health care management. I
t explores the theoretical relations among organizational and environm
ental characteristics and measures of efficiency and effectiveness. Th
e paper develops need fulfillment as a measure of organization effecti
veness. An interesting implication for organization theory is the find
ings that suggest that legitimacy does not enhance efficiency and that
legitimacy and efficiency may be entirely independent variables.