[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.

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.

[Path dependencies as constraints on reorganisational processes in hospitals: using the example of coordination effects]. / Pfadabhängigkeiten als Hemmnisse von Reorganisationsprozessen in Krankenhäusern: Am Beispiel von Koordinationseffekten.

It is the objective of this theoretical study to examine whether archetypical hospital structures promote the creation of path dependencies. In the outcome, coordination effects lead potentially to the development of decentralised informal rules in hospital departments. The successful implementation of organisational target conditions, which are focused on increased work cooperation between individual hospital departments, is hereby called into question.