Which of the following is LEAST likely to occur when the administration and delivery of health care is organized as a bureaucracy?

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11ecba2d_0d96_e451_a3bf_9544a24670ca_MD0008_00 Bureaucracy, a modern form of organization adopted by complex societies, is designed to be rational and maximize efficiency. An ideal bureaucracy is characterized by the following: Division of labor increases efficiency through specialization (individuals focus on their area of expertise) Hierarchical structure provides a clear chain of command enabling everyone to understand their role Standardization of clear rules/procedures ensures continuity and uniformity Impersonal processes for hiring/promoting (based on merit) and handling clients foster equal treatment Actual bureaucracies often have some, but not necessarily all, of the characteristics of an ideal bureaucracy. If the administration and delivery of health care is organized as a bureaucracy, personalized patient care would be least likely to occur because bureaucracies are typically characterized by impersonality and standardization (not personalization and flexibility). (Choice A) Licensing for health care providers that is impersonal (based on merit) and standardized (formal, uniform) is likely to occur in a bureaucracy. (Choice B) Health care providers and administrators who have separate and specialized roles reflect a division of labor, which is likely to occur in a bureaucracy. (Choice C) A clear chain of command among health care providers and administrators reflects a hierarchical organization, which is likely to occur in a bureaucracy. Educational objective: Ideal bureaucracies use division of labor, hierarchical structure, standardization, and impersonality to maximize rationality and efficiency. Actual bureaucracies often have some, but not necessarily all, of the characteristics of an ideal bureaucracy.

Which of the Following Is LEAST Likely to Occur When