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The emergence of the entrepreneurial hospital

Authors Grazier KL

Received 12 January 2015

Accepted for publication 10 February 2015

Published 13 April 2015 Volume 2015:2 Pages 19—24


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Rubin Pillay

Kyle L Grazier1,2

1Department of Health Management and Policy, School of Public Health, 2Department of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, MI, USA

Abstract: In creating a vision of the emerging entrepreneurial hospital, this review looks briefly to selected theories used by researchers and practitioners to explore, define, explain, project, and guide hospitals into the future; and then moves directly to how scholars have used those theories to inform their empirical work and explain the findings from that work. The discourse then addresses briefly what might be needed – now – for hospitals to emerge “entrepreneurial” in the future. This article examines some of the academic, professional, and “gray” literature to consider the future of the “hospital”. Much of the literature comes from researchers and thought leaders in organizational behavior, social capital, economics, finance, social welfare, health management, and marketing. The paper explores the external environment for hospitals; the effectors, those events and conditions that bear directly on the form and function of the emerging hospital; and the organization-specific and intra-organizational dynamics that help determine how and in what form the hospital will emerge as an entrepreneurial force. While the vision of the “hospital” of the future varies across observers, the theoretical and empirical research, popular discourse, and lessons from other industries and sectors of the economy, provide guidance on why and how knowing what we can know may bring us into the future more effectively and efficiently.

Keywords: health care, innovation, strategy, mission, vision

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