Some limits to the hospital as a negotiated order

Soc Sci Med. 1984;18(3):243-9. doi: 10.1016/0277-9536(84)90086-8.


This paper examines issues of freedom and constraint by employing the negotiated order perspective in an analysis of a merger of three health care institutions. The findings give support to the importance of negotiated order considerations in understanding the social organization of health care, for they suggest that there are some limits to negotiations which take place within medically dominated settings.

MeSH terms

  • Attitude of Health Personnel
  • Community Mental Health Centers / organization & administration*
  • Health Facilities / legislation & jurisprudence*
  • Health Facility Merger / legislation & jurisprudence*
  • Hospital Restructuring / legislation & jurisprudence
  • Hospitals, General / organization & administration*
  • Humans
  • Medical Staff, Hospital
  • Nova Scotia
  • Psychiatric Department, Hospital / organization & administration