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This partnership maintains a formal process where all decision making starts from the bottom, and it will work its way up until a consensus is reached. This mechanism allows upper management to focus on issues that require precise attention. On the negative side of this wonderful control mechanism, the results of decision-making can be a complex one because it has to travel through all the channels until a consensus is achieved.
The several characteristics that have mold Kaiser Permanente into following the bureaucracy model are laws and government regulations, hierarchy and its partnership with the union...
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