21 Ga. St. U. L. Rev. 857 (2004-2005)
The Culture of Health Care: How Professional and Organizational Cultures Impact Conflict Management

handle is hein.journals/gslr21 and id is 871 raw text is: THE CULTURE OF HEALTH CARE: HOW
PROFESSIONAL AND ORGANIZATIONAL
CULTURES IMPACT CONFLICT MANAGEMENT
Debra Gerardi*
INTRODUCTION
Culture matters. It matters because decisions made without
awareness   of  the   operative  cultural forces   may    have
unanticipated and undesirable consequences .... The argument
for taking culture seriously, therefore, is that one should
anticipate consequences and make a choice about their
desirability. I
The expansion of alternative dispute resolution within the past 30
years, in both the public and private sectors, is well-documented.2
However, despite this expansion, attempts to expand alternative
dispute resolution (ADR) and conflict management services into
health care organizations have had little success.3 A    1997 survey of
Fortune    1000   companies     that  had   adopted    some    form    of
organizational conflict management strategy indicates that those
organizations experiencing high levels of market pressure were most
likely to adopt a preventive approach-use of ADR in all types of
disputes with a comprehensive set of policies designed to manage
conflict.4 Given the intense market pressures within the health care
* Debra is the President and CEO of Health Care Mediations, Inc. providing conflict management
services to health care organizations internationally. She is also the director of the Program on
Healthcare Collaboration and Conflict Management at the Werner Institute for Negotiation and Dispute
Resolution at Creighton  University School of Law.  Debra can  be reached at
dgerardi@healthcaremediations.com.
1. EDGAR H. SCHEIN, THE CORPORATE CULTURE SURVIVAL GUIDE 3 (1999).
2. DAVID B. LIPSKY ET AL., EMERGING SYSTEMS FOR MANAGING WORKPLACE CONFLICT:
LESSONS FROM AMERICAN CORPORATIONS FOR MANAGERS AND DISPUTE RESOLUTION PROFESSIONALS
75 (2003).
3. Harry N. Mazadoorian & Stephen R. Latham, ADR for Health Care Organizations, DISP. RESOL.
MAG., Fall 2004, at 8, 10.
4. LIPSKY ET AL., supra note 2.

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