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It is argued that the theory of negotiated order, which has remained largely submerged within a series of fairly specific "grounded" case studies of occupations, professions, and complex organizations in the health field, has a number of attractive qualities to it. As such, it represents one of the more exciting recent developments in the study of organizations. The present paper examines the more recent historical origins of the theory, summarizes its major points, and critically assesses its strengths and weaknesses. Since most of the substance of the theory is found in studies of health professionals working in hospital settings, the examples used here are also derived from this particular body of literature. Some future possible directions which we believe will improve the overall explanatory power of the perspective are presented in the concluding section. [ABSTRACT FROM AUTHOR]

The relationship between size and structure is a general problem in the study of social organization. Organization can be seen as a system of relationships among differentiated activities performed by units of a population. Viewed as arising out of the exchange relations among these units, the structural characteristics of organizations should be affected by population size. As specific expressions of this general concern, size has been included in every taxonomy of group properties and has been related to goals, effectiveness, succession, and job satisfaction in studies of formal organizations (Merton, 1957:310-326; Berelson and Steiner, 1964:364-367; Tannenbaum, 1961; Meltzer and Salter, 1962; Simpson and Gulley, 1962; and Grusky, 1961). But perhaps the greatest amount of theoretical and research attention has focused on the relationship between size and the administrative component as one structural aspect of formal organizations (Melman, 1951; Terrien and Mills, 1955; Tsouderos, 1955; Bendix, 1956:221-223; Haire, 1959:287-296; Anderson and Warkov, 1961; Lindenfeld, 1961; Haas et al., 1963; Hawley et al., 1965; Starbuck, 1965:495-502; Rushing, 1966; Raphael, 1967; Hall et al., 1967). The findings produced by this research along with other inquiries into the effects of size on structural characteristics have been inconclusive. This has led some to conclude that "… size may be irrelevant in determining organizational structure" (Hall et al., 1967:912). Such a conclusion, however, may be premature. It is clear from both our own work and that of others that the effects of size may vary by type of organization (Akers and Campbell, 1968). Further, a clearer understanding of the size factor, especially as related to the administrative segment, requires a systematic investigation into other structural features of organization. In particular, Blau and Scott (1962:227) have suggested that complexity, as a second structural characteristic, may be an intervening variable between size and the administrative component, as well as being itself directly affected by organizational size. While other studies have treated complexity in a variety of ways, none has attempted systematically to explore the interrelationships among size, complexity, and the administrative component in a relatively large number of voluntary organizations. It is the purpose of this paper to examine these interrelationships for one kind of organization. Specifically, we want to consider: 1. the relationship between organizational size and the administrative component, controlling for complexity. 2. the relationship between size and complexity controlling for the relative size of the administrative component. 3. the relationship between complexity and the size of the administrative component controlling for organizational size. [ABSTRACT FROM AUTHOR]