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Organizing under constraint: Paradox navigation in public health systems

Soniya Rijal

Health Care Management Review2026https://doi.org/10.1097/hmr.0000000000000479article
AJG 2ABDC A
Weight
0.50

Abstract

I outline practical ways to address paradoxical tensions through composite arrangements when actors have limited discretion. In addition, I explain how public health organizations can strengthen these arrangements by fostering organizational cultures that embrace paradox amid resource scarcity to sustain the health system's functioning.

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https://doi.org/https://doi.org/10.1097/hmr.0000000000000479

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@article{soniya2026,
  title        = {{Organizing under constraint: Paradox navigation in public health systems}},
  author       = {Soniya Rijal},
  journal      = {Health Care Management Review},
  year         = {2026},
  doi          = {https://doi.org/https://doi.org/10.1097/hmr.0000000000000479},
}

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Organizing under constraint: Paradox navigation in public health systems

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Evidence weight

0.50

Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40

F · citation impact0.50 × 0.4 = 0.20
M · momentum0.50 × 0.15 = 0.07
V · venue signal0.50 × 0.05 = 0.03
R · text relevance †0.50 × 0.4 = 0.20

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