THE STRATEGY BUILDING PROCESS IN A PHILANTHROPIC HOSPITAL: AN ANALYSIS BASED ON STRATEGY AS PRACTICE

Authors

  • Gabriela Gonçalves Silveira Fiates Universidade Federal de Santa Catarina
  • Maria Laura Orlandi Demo Unisul
  • Caroline Orlandi Brilinger IFSC

DOI:

https://doi.org/10.14210/alcance.v25n3(Set/Dez).p276-290

Keywords:

Strategy as Practice, Health Management, Hospital.

Abstract

The article is about strategic management in hospitals, its development was based on the approach of the Strategy as Practice. Its objective was to analyze the process of formation of strategy in the practice of the philanthropic hospital researched. For this purpose, the players involved, how organizational practices influence the formation of strategies and the related praxis were identified. It also studied the position of the institution in relation to its environment, i.e. whether it tends to be voluntarist or deterministic. It is an applied scientific research, characterized as a case study; the data analysis was qualitative and was guided by critical discourse analysis. The results show that the strategies of the institution are not separated from its organizational practices, but that each is influenced by the other. This provides a systemic view, focused on actions, and enables the goals set to be reached. This paper contributes to a better understanding of the strategic process in dynamic, highly regulated environments, showing that although there is environmental determinism, the organization adopts a dialectic perspective, with space for strategic choices. It also contributes with a reflection about the actors involved in the strategic process, as it shows that some actors have no interest in participating in building a formal plan.

Author Biographies

Gabriela Gonçalves Silveira Fiates, Universidade Federal de Santa Catarina

Graduada em Engenharia Mecânica em 1991, Mestre em Engenharia de Produção pela em 1995, com trabalho desenvolvido na área de Qualidade e Produtividade e, Doutora em Engenharia de Produção em 2001, com trabalho desenvolvido na área de Aprendizagem Organizacional. Sua formação acadêmica foi integralmente realizada na Universidade Federal de Santa Catarina. Atualmente é professora e pesquisadora da Universidade do Sul de Santa Catarina - UNISUL, onde atua na área de “Mudança e Inovação, a partir de processos de aprendizagem organizacional”; “Gestão do Conhecimento” e “Habitats para Inovação”. É autora de três capítulos de livros, um pela Editora Saraiva e outros dois pela Qualitymark. Publica em diversos periódicos, além de fazer parte do comitê editorial de várias revistas científicas. É Editora da Revista Eletrônica de Estratégias e Negócios.

Maria Laura Orlandi Demo, Unisul

Bacharel em Administração pela Universidade Federal de Santa Catarina Graduanda em Medicina na UNISUL

Caroline Orlandi Brilinger, IFSC

Especialista em Cuidado ao Paciente Crítico pelo Instituto Sírio Libanês de Ensino e Pesquisa Professora do IFSC na área de Saúde e Serviços - Joinville - SC

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Published

2019-02-28

Issue

Vol. 25 No. 3(Set/Dez) (2018)

Section

Article

License

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