Books and journals Case studies Expert Briefings Open Access
Advanced search

Search results

1 – 10 of 12
To view the access options for this content please click here
Article
Publication date: 1 December 1998

The process of change related to health policy shift: reforming a health care system

Ann L. Casebeer and Kathryn J. Hannah

Efforts of governments to adjust the responsiveness and efficiency of their health care systems are evident across the globe. In the seemingly constant search for…

HTML
PDF (131 KB)

Abstract

Efforts of governments to adjust the responsiveness and efficiency of their health care systems are evident across the globe. In the seemingly constant search for solutions providing both better health outcomes and manageable costs, the directions and designs for change are neither consistent nor well studied. Opportunities for shared learning concerning what strategies for transforming health care systems lead to effective and sustainable change are being missed. There is an urgent need to study and understand the processes of change initiated by health policy shifts aimed at controlling health care costs, altering health service delivery and influencing outcomes of health care. In partial response to this need, research was initiated to study health policy transition within the Western Canadian province of Alberta. The primary objective of this research was: to identify, describe, compare and contrast the processes of change adopted and implemented in a variety of health authorities as a result of health policy shift. Change processes initiated by a specific health policy shift (the restructuring of Alberta’s health care system) were explored from the perspective of the change agents (individuals managing the health system reforms) in order to discover indicators of effective change and to identify questions for further consideration and testing in relation to change process related to health policy shift. This qualitative exploratory study coincided with real time alteration to the health system via legislated health policy shift. Findings relate changes in the structure, process and outcome of the health policy transition. Additionally, a number of questions linked to the reported findings are highlighted to encourage additional and continuing efforts to improve understanding of change process related to health policy shift.

Details

International Journal of Public Sector Management, vol. 11 no. 7
Type: Research Article
DOI: https://doi.org/10.1108/09513559810247911
ISSN: 0951-3558

Keywords

  • Health authorities
  • Health care
  • Organizational change

To view the access options for this content please click here
Article
Publication date: 30 October 2009

Positively deviant networks: what are they and why do we need them?

Ann Casebeer, Janice Popp and Cathie Scott

This paper aims to report “positively deviant” experiences of three public sector networks seeking to enhance organizational and system level capacities. It is the…

HTML
PDF (164 KB)

Abstract

Purpose

This paper aims to report “positively deviant” experiences of three public sector networks seeking to enhance organizational and system level capacities. It is the authors' thesis that the knowledge base concerning the true benefits and pitfalls of networks can be captured and interpreted only through intense, ongoing learning effort embedded in practice on the ground, combined with sustained in‐depth observation and collaborative research.

Design/methodology/approach

The paper describes through case examples why and how different kinds of networks within different jurisdictional contexts and different organizational cultures are being used to enhance the climate for change towards better health care and improved health. The authors describe the contexts, structures, processes and impacts of three “positively deviant” networks.

Findings

The network form can provide opportunity for nurturing changes and innovations within large organizational and complex system environments. This opportunity to create additional and different pathways for improved decision making and service provision comes with challenges that should be recognized.

Practical implications

The authors' experiences indicate that, for networks, a key component of success relates to pulling and pushing at the edges of multiple connections and boundaries in “positively deviant” ways. This pushing and pulling is intrinsically evidence of organizational and intraorganizational learning – in the examples presented – for the improvement of health care and health.

Originality/value

Other networks can learn from the reported experiences and add their own cases to the empirical understanding of how networks can make a difference; this in turn can help the conceptual and theoretical understanding of them.

Details

Journal of Health Organization and Management, vol. 23 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/14777260911001635
ISSN: 1477-7266

Keywords

  • Networking
  • Learning organizations
  • Change management

To view the access options for this content please click here
Book part
Publication date: 15 December 2016

How Institutions Matter: From the Micro Foundations of Institutional Impacts to the Macro Consequences of Institutional Arrangements

Joel Gehman, Michael Lounsbury and Royston Greenwood

This double volume presents a collection of 23 papers on how institutions matter to socio-economic life. The papers delve deeply into the practical impact an institutional…

HTML
PDF (322 KB)
EPUB (304 KB)

Abstract

This double volume presents a collection of 23 papers on how institutions matter to socio-economic life. The papers delve deeply into the practical impact an institutional approach enables, as well as how such research has the potential to influence policies relevant to critical institutional changes unfolding in the world today. In Volume 48A, the focus is on the micro foundations of institutional impacts. In Volume 48B, the focus is on the macro consequences of institutional arrangements. Our introduction provides an overview to the two volumes, identifies points of contact between the papers, and briefly summarizes each contribution. We close by noting avenues for future research on how institutions matter. Overall, the volumes provide a cross-section of cutting edge institutional thought and empirical research, highlighting a variety of fruitful directions for knowledge accumulation and development.

Details

How Institutions Matter!
Type: Book
DOI: https://doi.org/10.1108/S0733-558X201600048A002
ISBN: 978-1-78635-429-7

Keywords

  • Institutional theory
  • institutional logics
  • institutional complexity
  • grand challenges
  • practices
  • framing

To view the access options for this content please click here
Book part
Publication date: 25 November 2019

Hybridity and Power in the MicroFoundations of Professional Work

Namrata Malhotra and Trish Reay

In this chapter the authors focus on the role of power associated with microfoundations of organizational hybridity. They develop a framework that illuminates how key…

HTML
PDF (1 MB)
EPUB (265 KB)

Abstract

In this chapter the authors focus on the role of power associated with microfoundations of organizational hybridity. They develop a framework that illuminates how key sources of power based on Buchanan and Badham (2008) and French and Raven (1959) manifest at the level of everyday work practices. Using this framework, they draw on existing studies concerning hybridity in professional organizations to illustrate how different forms of power come into play when actors guided by different logics engage in day-to-day professional work. Overall, the authors suggest that more attention to how micro-level actors use different forms of power to support, hamper, or alter different mechanisms to manage tensions among competing logics in everyday work is critical to improving our understanding about the microfoundations of institutionalism.

Details

Microfoundations of Institutions
Type: Book
DOI: https://doi.org/10.1108/S0733-558X2019000065B017
ISBN: 978-1-78769-127-8

Keywords

  • Institutional hybridity
  • power
  • professional work
  • hybrid roles
  • socialization practices
  • microfoundations

To view the access options for this content please click here
Book part
Publication date: 10 April 2019

Performing Process Research

Chahrazad Abdallah, Maria Lusiani and Ann Langley

This chapter examines existing approaches to conducting qualitative process research (i.e., studies that view phenomena as becoming or evolving over time) by analyzing…

HTML
PDF (209 KB)
EPUB (395 KB)

Abstract

This chapter examines existing approaches to conducting qualitative process research (i.e., studies that view phenomena as becoming or evolving over time) by analyzing published process research in six premier organizational journals from 2010 to 2017. We identify four modes of performing process research that we label evolutionary process stories, performative process stories, narrative process stories and toolkit-driven process stories, and explore the particular ways in which they formulate and link empirical and theoretical elements. We also identify some of their specific challenges and suggest directions for the future.

Details

Standing on the Shoulders of Giants
Type: Book
DOI: https://doi.org/10.1108/S1479-838720190000011008
ISBN: 978-1-78756-336-0

Keywords

  • Process research
  • qualitative methods
  • performativity
  • process ontologies
  • temporality
  • academic writing

Content available
Article
Publication date: 30 October 2009

Guest editorial

Paula Hyde

HTML

Abstract

Details

Journal of Health Organization and Management, vol. 23 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/jhom.2009.02523faa.001
ISSN: 1477-7266

To view the access options for this content please click here
Book part
Publication date: 22 August 2014

List of Contributors

HTML
PDF (52 KB)
EPUB (435 KB)

Abstract

Details

Annual Review of Comparative and International Education 2014
Type: Book
DOI: https://doi.org/10.1108/S1479-367920140000025023
ISBN: 978-1-78350-453-4

To view the access options for this content please click here
Article
Publication date: 21 March 2016

Sustaining organizational culture change in health systems

Cameron David Willis, Jessie Saul, Helen Bevan, Mary Ann Scheirer, Allan Best, Trisha Greenhalgh, Russell Mannion, Evelyn Cornelissen, David Howland, Emily Jenkins and Jennifer Bitz

The questions addressed by this review are: first, what are the guiding principles underlying efforts to stimulate sustained cultural change; second, what are the…

HTML
PDF (225 KB)

Abstract

Purpose

The questions addressed by this review are: first, what are the guiding principles underlying efforts to stimulate sustained cultural change; second, what are the mechanisms by which these principles operate; and, finally, what are the contextual factors that influence the likelihood of these principles being effective? The paper aims to discuss these issues.

Design/methodology/approach

The authors conducted a literature review informed by rapid realist review methodology that examined how interventions interact with contexts and mechanisms to influence the sustainability of cultural change. Reference and expert panelists assisted in refining the research questions, systematically searching published and grey literature, and helping to identify interactions between interventions, mechanisms and contexts.

Findings

Six guiding principles were identified: align vision and action; make incremental changes within a comprehensive transformation strategy; foster distributed leadership; promote staff engagement; create collaborative relationships; and continuously assess and learn from change. These principles interact with contextual elements such as local power distributions, pre-existing values and beliefs and readiness to engage. Mechanisms influencing how these principles sustain cultural change include activation of a shared sense of urgency and fostering flexible levels of engagement.

Practical implications

The principles identified in this review, along with the contexts and mechanisms that influence their effectiveness, are useful domains for policy and practice leaders to explore when grappling with cultural change. These principles are sufficiently broad to allow local flexibilities in adoption and application.

Originality/value

This is the first study to adopt a realist approach for understanding how changes in organizational culture may be sustained. Through doing so, this review highlights the broad principles by which organizational action may be organized within enabling contextual settings.

Details

Journal of Health Organization and Management, vol. 30 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/JHOM-07-2014-0117
ISSN: 1477-7266

Keywords

  • Organizational culture
  • Sustainability
  • Transformation
  • Realist review

To view the access options for this content please click here
Article
Publication date: 21 September 2015

Finding brilliance using positive organizational scholarship in healthcare

Ann Dadich, Liz Fulop, Mary Ditton, Steven Campbell, Joanne Curry, Kathy Eljiz, Anneke Fitzgerald, Kathryn J. Hayes, Carmel Herington, Godfrey Isouard, Leila Karimi and Anne Smyth

Positive organizational scholarship in healthcare (POSH) suggests that, to promote widespread improvement within health services, focusing on the good, the excellent, and…

HTML
PDF (367 KB)

Abstract

Purpose

Positive organizational scholarship in healthcare (POSH) suggests that, to promote widespread improvement within health services, focusing on the good, the excellent, and the brilliant is as important as conventional approaches that focus on the negative, the problems, and the failures. POSH offers different opportunities to learn from and build resilient cultures of safety, innovation, and change. It is not separate from tried and tested approaches to health service improvement – but rather, it approaches this improvement differently. The paper aims to discuss these issues.

Design/methodology/approach

POSH, appreciative inquiry (AI) and reflective practice were used to inform an exploratory investigation of what is good, excellent, or brilliant health service management.

Findings

The researchers identified new characteristics of good healthcare and what it might take to have brilliant health service management, elucidated and refined POSH, and identified research opportunities that hold potential value for consumers, practitioners, and policymakers.

Research limitations/implications

The secondary data used in this study offered limited contextual information.

Practical implications

This approach is a platform from which to: identify, investigate, and learn about brilliant health service management; and inform theory and practice.

Social implications

POSH can help to reveal what consumers and practitioners value about health services and how they prefer to engage with these services.

Originality/value

Using POSH, this paper examines what consumers and practitioners value about health services; it also illustrates how brilliance can be theorized into health service management research and practice.

Details

Journal of Health Organization and Management, vol. 29 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/JHOM-11-2013-0256
ISSN: 1477-7266

Keywords

  • Organizational behaviour
  • Methodology
  • Management

To view the access options for this content please click here
Article
Publication date: 6 October 2014

Health LEADS Australia and implications for medical leadership

Andi Sebastian, Liz Fulop, Ann Dadich, Anneke Fitzgerald, Louise Kippist and Anne Smyth

The purpose of this paper is to call for strong medical co-leadership in transforming the Australian health system. The paper discusses how Health LEADS Australia, the…

HTML
PDF (137 KB)

Abstract

Purpose

The purpose of this paper is to call for strong medical co-leadership in transforming the Australian health system. The paper discusses how Health LEADS Australia, the Australian health leadership framework, offers an opportunity to engage medical clinicians and doctors in the leadership of health services.

Design/methodology/approach

The paper first discusses the nature of medical leadership and its associated challenges. The paper argues that medical leaders have a key role in the design, implementation and evaluation of healthcare reforms, and in translating these reforms for their colleagues. Second, this paper describes the origins and nature of Health LEADS Australia. Third, this paper discusses the importance of the goal of Health LEADS Australia and suggests the evidence-base underpinning the five foci in shaping medical leadership education and professional development. This paper concludes with suggestions on how Health LEADS Australia might be evaluated.

Findings

For the well-being of the Australian health system, doctors need to play an important role in the kind of leadership that makes measurable differences in the retention of clinical professions; improves organisational cultures; enhances the engagement of consumers and their careers; is associated with better patient and public health outcomes; effectively addresses health inequalities; balances cost effectiveness with improved quality and safety; and is sustainable.

Originality/value

This is the first article addressing Health LEADS Australia and medical leadership. Australia is actively engaging in a national approach to health leadership. Discussions about the mechanisms and intentions of this are valuable in both national and global health leadership discourses.

Details

Leadership in Health Services, vol. 27 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/LHS-03-2014-0028
ISSN: 1751-1879

Keywords

  • Health leadership initiatives
  • Health services
  • Health leadership capabilities

Access
Only content I have access to
Only Open Access
Year
  • All dates (12)
Content type
  • Article (8)
  • Book part (4)
1 – 10 of 12
Emerald Publishing
  • Opens in new window
  • Opens in new window
  • Opens in new window
  • Opens in new window
© 2021 Emerald Publishing Limited

Services

  • Authors Opens in new window
  • Editors Opens in new window
  • Librarians Opens in new window
  • Researchers Opens in new window
  • Reviewers Opens in new window

About

  • About Emerald Opens in new window
  • Working for Emerald Opens in new window
  • Contact us Opens in new window
  • Publication sitemap

Policies and information

  • Privacy notice
  • Site policies
  • Modern Slavery Act Opens in new window
  • Chair of Trustees governance statement Opens in new window
  • COVID-19 policy Opens in new window
Manage cookies

We’re listening — tell us what you think

  • Something didn’t work…

    Report bugs here

  • All feedback is valuable

    Please share your general feedback

  • Member of Emerald Engage?

    You can join in the discussion by joining the community or logging in here.
    You can also find out more about Emerald Engage.

Join us on our journey

  • Platform update page

    Visit emeraldpublishing.com/platformupdate to discover the latest news and updates

  • Questions & More Information

    Answers to the most commonly asked questions here