ArticleBMC health services research2026
Untangling standardization and administrative burden as microfoundations of agility in healthcare.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
backgroundThe capability of healthcare organizations to provide high-quality care is in part determined by their workers' ability to adapt to a complex and uncertain environment. Since healthcare operations are often highly standardized and bureaucratized, adapting and responding to internal and external changes is no small feat. This study investigates these tensions as determinants of individual agility.
methodsUsing survey data collected from 2,173 Canadian nurses along with structural equation modelling, the study assesses a hypothetical model to understand how process standardization and administrative burden influence individual agility and, in turn, the quality of care provided to patients.
resultsThe results show that the quality of care provided by nurses to their patients is increased by their internal and external individual agility. These, in turn, are positively influenced by process standardization but inhibited by administrative burden.
conclusionThis study extends current literature on the microfoundations of agility in healthcare by providing theoretical and practical contributions on the impact of enabling and coercive bureaucracy.
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