Regionalizing Healthcare in Alberta: Legislated Change, Uncertainty and Loose Coupling
从不确定性和松散耦合视角，研究阿尔伯塔省政府医疗保健重组尝试，发现组织松散耦合程度越高，变革越困难且越易产生意外后果。
In this paper,we examine the re‐organizing attempts of the Alberta government in healthcare from the viewpoint of uncertainty,loose coupling and the frequently unrecognized consequences of such change.We suggest that our understanding of change processes can be enhanced by conceptualizing the impact of task and environmental uncertainty through the nature of coupling between organizational elements.Based on our .ndings,we propose that the greater the degree of loose coupling in an organization,the more di .cult change is likely to be,and the more likely the occurrence of unanticipated consequences.