Suchergebnisse

In 1984 Congress revamped Medicare to save a financially distraught health care system, thus transforming the hospital as an organization. Diagnosis Related Groups (DRGs) -- the cornerstone of this extensive reorganization -- have triggered repercussions that are still adversely affecting health care professionals. This volume cuts to the heart of this crisis, examining the difficulties and foibles of going from DRG Legislation to DRG practices and giving voice to the professionals who must carve out a new reality under DRGs. It exposes the disputes between the various professional groups --

This study suggests that argument as a language game in group interaction can be analyzed, using a discourse-analytic approach, to inform small group scholars about the relationship between influence and decision outcomes. To accomplish its purpose, the study analyzes a decision-making episode in an organizational group and focuses upon one specific speech act, the proposal. As a speech act, the proposal is central to the decision-making quality of the group in that it entails the structural expansion necessary for consensus-seeking discussion. The article shows how the development of the proposal in group interaction can satisfy the requirements for effective group decisions as outlined by Hirokawa (1988).