[Do Learning Effects Lead to Path Dependencies in Hospitals? Study of the Effects on Reorganisation Processes]. / Führen Lerneffekte zu Pfadabhängigkeiten in Krankenhäusern? Untersuchung zu Auswirkungen auf Reorganisationsprozesse.

ABSTRACT

Based on the observations concerning the economic situation, a fundamental restructuring of hospital organisations is repeatedly called for in the literature. Strengthening the process orientation by "raising" the grade of efficiency is frequently argued as an organisational measure. This work theoretically investigates where the obstacles to organisational change in hospitals can lie using the path dependency theory. Specifically, socio-professional influences on the learning behaviour of hospital staff will be discussed. Influences that affect inter-professional cooperation in hospitals are identified.