Download or read book Making Wicked Problems Governable written by Ewan Ferlie and published by OUP Oxford. This book was released on 2013-03-28 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the last thirty years, scholars of health care organizations have been searching for concepts and images to illuminate their underlying, and shifting, modes of organizing. Nowhere has this controversy been more intense than in the United Kingdom, given the long succession of top down reorganizations within the National Health Service (NHS) over the last thirty years. This book characterises the nature of key reforms - namely managed networks - introduced in the UK National Health Service during the New Labour period (1997-2010), combining rich empirical case material of such managed networks drawn from different health policy arenas (clinical genetics, cancer networks, sexual health networks, and long term care) with a theoretically informed analysis. The book makes three key contributions. Firstly, it argues that New Labour's reforms included an important network element consistent with underlying network governance ideas, specifying conditions of 'success' for these managed networks and exploring how much progress was empirically evident. Secondly, in order to conceptualise many of the complex health policy arenas studied, the book uses the concept of 'wicked problems': problematic situations with no obvious solutions, whose scope goes beyond any one agency, often with conflicting stakeholder interests, where there are major social and behavioural dimensions to be considered alongside clinical considerations. Thirdly, it makes a contribution to the expanding Foucauldian and governmentality-based literature on health care organizations, by retheorising organizational processes and policy developments which do not fit either professional dominance or NPM models from a governmentality perspective. From the empirical evidence gathered, the book argues that managed networks (as opposed to alternative governance modes of hierarchy or markets) may well be the most suitable governance mode in those many and expanding policy arenas characterised by 'wicked problems', and should be given more time to develop and reach their potential.

Download or read book The Management of Wicked Problems in Health and Social Care written by Will Thomas and published by Routledge. This book was released on 2018-09-19 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a time of growing pressure on health and social care services, this book draws together contributions which highlight contemporary challenges for their management. Providing a range of contributions that draw on a Critical Management Studies perspective the book raises macro-level concerns with theory, demographics and economics on the one hand, as well as micro-level challenges of leadership, voice and engagement on the other. Rather than being an attempt to define the ‘wickedness’ of problems in this field, this book provides new insights designed to be of interest and value to researchers, students and managers. Contributions from international researchers explore four main topics: identifying contemporary challenges in health and social care; managing, leading and following; listening to silent voices in delivering change; and new methodologies for understanding care challenges. The concerns discussed in this volume are ‘wicked’ in so far as they are persistent, pernicious and beyond the curative abilities of any single organisation or profession. Such problems require collaboration but also new approaches to listening to those who suffer their effects. This book demonstrates such listening through its engagement with policy makers, leaders, followers, professions, patients, forgotten groups and silenced voices. Moreover, it considers how future research might be transformed so as to shine a more inclusive light on ‘wicked’ problems and their amelioration. This is a timely and engaging book that challenges you – the reader – to think again about how we should look at, engage with and support all those involved in health and social care.

Download or read book Managing Modern Healthcare written by Mike Bresnen and published by Routledge. This book was released on 2017-02-10 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until now, research has given us only a limited understanding of how managers actually make sense of and apply management knowledge; how networks of interaction amongst managers help or hinder processes of knowledge diffusion and the sharing of best practice; and how these processes are all influenced both by the organisations in which managers act and by the professional communities of practice they belong to. Managing Modern Healthcare fills these important gaps in our understanding by drawing upon an in-depth study of management networks and practice in three healthcare organisations in the UK. It draws from the primary research a number of important and grounded lessons about how management networks develop and influence the spread of management knowledge and practice; how management training and development relates to the needs of managers facing challenging conditions; and how those conditions are themselves shaping the nature of management in healthcare. This book reveals how managers in practice are responding to the many contemporary challenges facing healthcare (and the NHS in particular) and how they are able or not to effectively exploit sources of knowledge, learning and best practice through the networks of practice they engage in to improve healthcare delivery and healthcare organisational performance. Managing Modern Healthcare makes a number of important theoretical contributions as well as practical recommendations. The theoretical and empirical contributions the book makes relate to wider work on networks and networking, management knowledge, situated learning/communities of practice, professionalization/professional identity and healthcare management more generally. The practical contribution comes in the form of recommendations for healthcare management practitioners and policy makers that are intended to impact upon and help enhance healthcare management delivery and performance.

Download or read book Managing Improvement in Healthcare written by Aoife M. McDermott and published by Springer. This book was released on 2017-10-10 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reflecting the challenges and opportunities of achieving improvement in healthcare systems, the contributions of this innovative new text lend depth and nuance to an increasing area of academic debate. Encompassing context, processes and agency, Managing Improvements in Healthcare addresses the task of attaining, embedding and sustaining improvement in the industry. The book begins by offering insight into the different valued aspects of quality, providing specific examples of national and organizational interventions in pursuit of improvement. The second part focuses on strategies for embedding good practice and ensuring the spread of high quality through knowledge mobilization, and the final part draws attention to the different groups of change agents involved in delivering, co-creating and benefitting from quality improvement. This inventive text will be insightful to those researchers interested in healthcare and organization, looking to transform theory into policy and practice.

Download or read book Analysing Health Care Organizations written by Ewan Ferlie and published by Routledge. This book was released on 2016-03-02 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Analysing Health Care Organizations seeks to link the world of health policy and management with the academic field of organization studies in a novel and additive way. It outlines the main developments in UK health care management apparent over the last thirty years and explores how they might be (re)seen with the application of some important organizational theories and perspectives. This book draws out contemporary and enduring themes from current literature on health care organization and considers them from a range of theoretical perspectives. Drawing on robust areas of research and some key academics who contribute to work in this field, it is a book relevant both to experts in the field and to those seeking to develop an understanding of health care organization from a theoretical perspective. Analysing Health Care Organizations provides a state of the art introduction foundation for subsequent works that will extend its content; providing a broad introductory overview of this theoretical terrain and setting the scene for further research.

Download or read book Challenging Perspectives on Organizational Change in Health Care written by Louise Fitzgerald and published by Routledge. This book was released on 2017-04-21 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides theory and research on organizational change and predominantly features the application of these ideas to the health care domain, broadly defined. It addresses enduring issues in advancing to an effective health care system. The aim of this book is to offer an accessible and readable text aimed at provoking thought and questioning, and aiding creativity. It proffers arguments and ideas which are firmly based in empirical data and evidence, so that the reader may make informed personal evaluations. This book is designed to furnish a comprehensive theoretical basis for understanding organizational change in health care, as well as selected core issues of contemporary and future importance to the provision of effective care within sustainable systems. A series of coherent themes are addressed throughout the book from differing perspectives. However, every chapter has been written to standalone and be read independently. Each offers resources relevant to its’ focal topic, in the form of references, case studies and critique. Setting out a future research agenda, the book will be vital reading for organizational change researchers and practitioners in the healthcare industry.

Download or read book The Politics of Management Knowledge in Times of Austerity written by Ewan Ferlie and published by Oxford University Press. This book was released on 2018-11-01 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the implementation of evidence-based medicine guidelines is well studied, there has been little investigation into the extent to which a parallel evidence-based management movement has been influential within health care organizations. This book explores the various management knowledges and associated texts apparent in English health care organizations, and considers how the local reception of these texts was influenced by the macro level political economy of public services reform evident during the period of the politics of austerity. The research outlined in this volume shows that very few evidence-based management texts are apparent within health care organizations, despite the influence of certain knowledge producers, such as national agencies, think tanks, management consultancies, and business schools in the industry. Bringing together the often disconnected academic literature on management knowledge and public policy, the volume addresses the ways in which preferred management knowledges and texts in these publicly funded settings are sensitive to the macro level political economy of public services reform, offering an empirically grounded critique of the evidence-based management movement.

Download or read book Managing Healthcare Organisations in Challenging Policy Contexts written by Roman Kislov and published by Springer Nature. This book was released on 2021-10-09 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare managers, professionals and service users operate in an increasingly complex environment in terms of policy, regulation and governance arrangements. The policy process is becoming pluralised as competing narratives are drawn upon to influence practice. A wide range of contradictory and inconsistent policies are on offer to healthcare stakeholders, which ultimately results in a broad spectrum of responses, adaptations and improvisations throughout the process of policy implementation. The impact on managerial and professional practice is significant: Whilst some voices are suppressed or ignored, the complex nature of contemporary policy contexts can also help local actors exercise their agency and advance their agenda. This edited volume investigates how contemporary policy trends are influencing healthcare systems, organisations and professions and explores the various ways in which policy implementation could be enacted, resisted and reinvented by healthcare managers and professionals on the ground. It sheds light on the complex web of connections that exist between policy development (Part I), its translation into practice (Part II), and the activities of organisational leaders who are trying their best to make sense of – and succeed in – challenging policy contexts (Part III).

Download or read book Research Handbook on Contemporary Human Resource Management for Health Care written by Aoife M. McDermott and published by Edward Elgar Publishing. This book was released on 2024-02-12 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt: This insightful Research Handbook delivers a comprehensive analysis of the significant contemporary trends and issues affecting human resource management (HRM) for health care, and their subsequent impact on individuals, organisations and national health services. This title contains one or more Open Access chapters.

Download or read book Transitions and Boundaries in the Coordination and Reform of Health Services written by Peter Nugus and published by Springer Nature. This book was released on 2020-01-08 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health systems worldwide are grappling with the challenge of coordinating difference in an increasingly complex care environment. In response this book features the latest research on organizational studies in healthcare and explores the relationship between strategic and organic change and what this means for the way we organize health work. Focusing on the complexity of healthcare environments, it discusses the need to cross professional and organizational boundaries. Specifically, this book focuses on the implications for health systems in the way that they continue to balance planning and intervention with organic learning systems. Comprising the best contributions from the 2018 Conference on Organizational Behaviour in Health Care (OBHC), this book is an important resource for healthcare researchers, as well as policy-makers and managers within the industry. Contributors explore the extent to which healthcare is codified through empirical analysis of practical interventions and conceptual debate.

Download or read book The Oxford Handbook of Health Care Management written by Ewan Ferlie and published by Oxford University Press. This book was released on 2016-04-07 with total page 901 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Handbook provides an authoritative overview of current issues and debates in the field of health care management. It contains over twenty chapters from well-known and eminent academic authors, who were carefully selected for their expertise and asked to provide a broad and critical overview of developments in their particular topic area. The development of an international perspective and body of knowledge is a key feature of the book. The Handbook secondly makes a case for bringing back a social science perspective into the study of the field of health care management. It therefore contains a number of contrasting and theoretically orientated chapters (e.g. on institutionalism; critical management studies). This social science based approach is a refreshing alternative to much existing work in this domain and offers a good way into current academic debates in this field. The Handbook thirdly explores a variety of important policy and organizational developments apparent within the current health care field (e.g. new organizational forms; growth of management consulting in health care organizations). It therefore explores and comments on major contemporary trends apparent in the practice field.

Download or read book Strategic Management in Public Services Organizations written by Ewan Ferlie and published by Routledge. This book was released on 2022-04-03 with total page 405 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic Management in Public Services Organizations takes a comparative and international view on the appropriate use of strategic management models that are affecting the way public services organizations are managed. In an era of New and post New Public Management reforms, public managers at all levels are expected to respond to these new approaches, which profoundly affect their work practices, skills, and knowledge bases. Choosing a promising strategic management model and implementing it in a way that works for the organization or inter-organizational network in question also depends on an understanding of local politico-administrative and cultural contexts: this book helps the readers identify how to successfully tailor strategic management approaches to their specific circumstances and needs. This second edition builds upon the successes of the well-received first edition. Thoroughly updated to help public managers meet the challenges of a new decade, it has a refreshed collection of mini-cases and now includes chapter summaries. It also includes a new chapter on collaborative strategy and co-creation, in response to the growth of interest in more open forms of public policymaking. This is an advanced textbook aimed at the postgraduate level, particularly students on MPAs and MBAs with a public sector option or MScs in public policy and public management.

Download or read book Context in Action and How to Study It written by Ninna Meier and published by Oxford University Press, USA. This book was released on 2019-06-20 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Context is a central concept in organization and management studies, yet it is often used in a generalized, unspecific manner. This book offers an interactionist view on context as a dynamic, relational, and socially enacted phenomenon. It explores context in action and the theoretical, methodological, and analytical consequences of this approach through a collection of reflections and research experiences from the dynamic field of health care. In the opening chapters, the editors present their framework for studying context in action and outline three main approaches, centered on the following questions: What constitutes context for a phenomenon or an event? How do actors understand, experience, and engage with context? How do contexts change and what is the role of actors in such processes? Context and action are then explored through a range of topics such as enactment and organizational change, policy implementation, executive work, strategic change, materiality, technology, patients and relatives' perspectives, integrated care, quality improvement, and health care support work. Relevant to both management researchers and practitioners, this volume provides a definition of context as theoretical construct based on interactionist and process based perspectives, and a practical framework for studying context in action which the reader can use in their own work.

Download or read book How to Implement Evidence Based Healthcare written by Trisha Greenhalgh and published by John Wiley & Sons. This book was released on 2017-06-26 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: British Medical Association Book Award Winner - President's Award of the Year 2018 From the author of the bestselling introduction to evidence-based medicine, this brand new title makes sense of the complex and confusing landscape of implementation science, the role of research impact, and how to avoid research waste. How to Implement Evidence-Based Healthcare clearly and succinctly demystifies the implementation process, and explains how to successfully apply evidence-based healthcare to practice in order to ensure safe and effective practice. Written in an engaging and practical style, it includes frameworks, tools and techniques for successful implementation and behavioural change, as well as in-depth coverage and analysis of key themes and topics with a focus on: Groups and teams Organisations Patients Technology Policy Networks and systems How to Implement Evidence-Based Healthcare is essential reading for students, clinicians and researchers focused on evidence-based medicine and healthcare, implementation science, applied healthcare research, and those working in public health, public policy, and management.

Download or read book Handbook on Hybrid Organisations written by David Billis and published by Edward Elgar Publishing. This book was released on 2020-02-28 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hybrid Organisations – that integrate competing organisational principles – have become a preferred means of tackling the complexity of today's societal problems. One familiar set of examples are organisations that combine significant features from market, public and third sector organisations. Many different groundbreaking approaches to hybridity are contained in this Handbook, which brings together a collection of empirical studies from an international body of scholars. The chapters analyse and theorise the position of hybrid organisations and have important implications for theory, practice and policy in a context of proliferating hybrid forms of organisation.

Download or read book Organizing for Societal Grand Challenges written by Ali Aslan Gümüsay and published by Emerald Group Publishing. This book was released on 2022-03-29 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ebook edition of this title is Open Access and freely available to read online. Organizing for Societal Grand Challenges unpacks how diverse forms of organizing help tackle-or reinforce-grand challenges,while emphasizing the need for researchers to expand their methodological repertoire and reflect upon scholarly practices.

Download or read book The Digitalization of Health Care written by Ian P. McLoughlin and published by Oxford University Press. This book was released on 2017 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores two controversial examples of attempts to implement national shareable electronic health record systems. It explains why implementing electronic health records has been so fraught with difficulties and argues that the moral basis of recording and sharing heath data needs to be re-thought.