Garrigan M E
Case Stud Health Adm. 1990;8:117-21.
The case hospital was required to strategically respond to significant environmental challenges brought into play by the legislative enactment of a new Medically Indigent Assistance Act (MIAA). Publicity surrounding the debate leading up to the passage of the new law by the state legislature placed the hospital under unprecedented scrutiny by local taxpayers, healthcare recipients, elected officials, advocates for the poor and other local providers of healthcare services. This case reports the implementation of a highly desired strategy on the part of the hospital and the necessary roles of multiple stakeholders in the realization of hospital strategy. The case also illustrates the spill-over effects of stakeholder relationships developed in pursuit of particular strategy on the organization's ability to pursue future strategy.
案例医院被要求对新的《医疗贫困援助法案》（MIAA）立法颁布所带来的重大环境挑战做出战略回应。州立法机构在新法律通过之前的辩论引发了公众关注，这使该医院受到了当地纳税人、医疗服务接受者、民选官员、贫困权益倡导者以及其他当地医疗服务提供者前所未有的审视。本案例报告了医院所实施的一项备受期待的战略，以及多个利益相关者在实现医院战略过程中所扮演的必要角色。该案例还说明了为追求特定战略而建立的利益相关者关系对组织追求未来战略能力所产生的溢出效应。
