U.S. Hospitals Mired in Bureaucracy: 10 Roadblocks to Change. (Health Care Organizational Structure)‪.‬

CHANGE IN ORGANIZATIONS is notoriously slow, (1) and nowhere is it slower than in that fascinating and unique organizational setting, the hospital. Until a few years ago, we could smugly raise our palms in a "What can I do?" gesture, blaming slow change on traditionalthinking, passive-aggressive physicians. (2) But today, they are far outnumbered by forward-looking colleagues who blend a vision of the future with laudable determination to preserve professionalism. (3) The first generation of VPMAs in hospitals, their second and third generation successors and some clinically-oriented CEOs (4) deserve much credit for catalyzing this change.