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Open Access
Article
Publication date: 5 July 2019

Rod Sheaff, Joyce Halliday, Mark Exworthy, Alex Gibson, Pauline W. Allen, Jonathan Clark, Sheena Asthana and Russell Mannion

Neo-liberal “reform” has in many countries shifted services across the boundary between the public and private sector. This policy re-opens the question of what structural and…

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Abstract

Purpose

Neo-liberal “reform” has in many countries shifted services across the boundary between the public and private sector. This policy re-opens the question of what structural and managerial differences, if any, differences of ownership make to healthcare providers. The purpose of this paper is to examine the connections between ownership, organisational structure and managerial regime within an elaboration of Donabedian’s reasoning about organisational structures. Using new data from England, it considers: how do the internal managerial regimes of differently owned healthcare providers differ, or not? In what respects did any such differences arise from differences in ownership or for other reasons?

Design/methodology/approach

An observational systematic qualitative comparison of differently owned providers was the strongest feasible research design. The authors systematically compared a maximum variety (by ownership) sample of community health services; out-of-hours primary care; and hospital planned orthopaedics and ophthalmology providers (n=12 cases). The framework of comparison was the ownership theory mentioned above.

Findings

The connection between ownership (on the one hand) and organisation structures and managerial regimes (on the other) differed at different organisational levels. Top-level governance structures diverged by organisational ownership and objectives among the case-study organisations. All the case-study organisations irrespective of ownership had hierarchical, bureaucratic structures and managerial regimes for coordinating everyday service production, but to differing extents. In doctor-owned organisations, the doctors’, but not other occupations’, work was controlled and coordinated in a more-or-less democratic, self-governing ways.

Research limitations/implications

This study was empirically limited to just one sector in one country, although within that sector the case-study organisations were typical of their kinds. It focussed on formal structures, omitting to varying extents other technologies of power and the differences in care processes and patient experiences within differently owned organisations.

Practical implications

Type of ownership does appear, overall, to make a difference to at least some important aspects of an organisation’s governance structures and managerial regime. For the broader field of health organisational research, these findings highlight the importance of the owners’ agency in explaining organisational change. The findings also call into question the practice of copying managerial techniques (and “fads”) across the public–private boundary.

Originality/value

Ownership does make important differences to healthcare providers’ top-level governance structures and accountabilities and to work coordination activity, but with different patterns at different organisational levels. These findings have implications for understanding the legitimacy, governance and accountability of healthcare organisations, the distribution and use power within them, and system-wide policy interventions, for instance to improve care coordination and for the correspondingly required foci of healthcare organisational research.

Details

Journal of Health Organization and Management, vol. 33 no. 7/8
Type: Research Article
ISSN: 1477-7266

Keywords

Open Access
Article
Publication date: 19 March 2018

Dominic Detzen

The purpose of this paper is to analyze how “New Deal” regulatory initiatives, primarily the Securities Acts and the Securities and Exchange Commission (SEC), changed US auditors’…

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Abstract

Purpose

The purpose of this paper is to analyze how “New Deal” regulatory initiatives, primarily the Securities Acts and the Securities and Exchange Commission (SEC), changed US auditors’ professional knowledge conception, culminating in the 1938 expansion of the Committee on Accounting Procedure (CAP), the first US body to set accounting principles.

Design/methodology/approach

The paper combines Halliday’s (1985) knowledge mandates with Hancher and Moran’s (1989) regulatory space to attain a theory-based understanding of auditors’ changing knowledge conceptions amid regulatory pressure. It draws on a range of primary and secondary sources to examine the period from 1929 to 1938.

Findings

Following the stock market crash, the newly created SEC aimed to engage auditors as a means to regulate companies’ accounting practices based on a set of codified principles. While entailing increased status, this new role conflicted with the auditors’ knowledge conception, which was based on professional judgment and personal integrity. Pressure from the SEC and academics eventually made auditors agree to a codification of their professional knowledge and create the CAP as a cooperative regulatory solution.

Originality/value

The paper explores the role of auditors’ knowledge conceptions in the emergence of today’s standard setting. It is suggested that auditors’ incomplete control of their professional knowledge made standard setting a form of co-regulation, located between the actors occupying the regulatory space of accounting.

Details

Accounting, Auditing & Accountability Journal, vol. 31 no. 3
Type: Research Article
ISSN: 0951-3574

Keywords

Article
Publication date: 1 December 2003

Sheena Asthana and Joyce Halliday

This paper considers intermediate care as part of a whole‐systems approach to care. It argues that this perspective allows a wider appreciation of the potential benefits of…

Abstract

This paper considers intermediate care as part of a whole‐systems approach to care. It argues that this perspective allows a wider appreciation of the potential benefits of intermediate care, and that this would also be a welcome feature in future research studies. The paper draws on an evaluation of intermediate care in Cornwall and outlines the central role of intermediate care co‐ordination in the whole system. The example of residential rehabilitation is then used to examine how an individual service relates to the system as a whole. Finally, factors that may also influence local systems such as partnership working and rurality are considered; these are seen as important considerations for any other authorities which might seek to replicate the Cornwall approach to intermediate care.

Details

Journal of Integrated Care, vol. 11 no. 6
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 December 2003

Jill Manthorpe

Abstract

Details

Journal of Integrated Care, vol. 11 no. 6
Type: Research Article
ISSN: 1476-9018

Article
Publication date: 1 December 2003

Peter Thistlethwaite

Abstract

Details

Journal of Integrated Care, vol. 11 no. 6
Type: Research Article
ISSN: 1476-9018

Article
Publication date: 13 June 2019

Louise Ravelli

The purpose of this paper is to reflect on pedagogical strategies which support the teaching of critical analysis of visual and multimodal texts in a tertiary-level course for…

Abstract

Purpose

The purpose of this paper is to reflect on pedagogical strategies which support the teaching of critical analysis of visual and multimodal texts in a tertiary-level course for Arts students.

Design/methodology/approach

The paper describes strategies which focus on developing students’ abilities to express interpretive critique, as opposed to mere description. These strategies give students strong scaffolding towards success in their interpretive writing. The course in question is a tertiary-level Arts course which teaches Kress and van Leeuwen’s (2006) approach to “reading images” in relation to contemporary media texts. The basic structure of the course is described, along with the macro steps which underpin the pedagogy. Examples of highly successful and less successful student writing are compared to reveal the key components of effective interpretive answers.

Findings

In addition to the normal expectations regarding essay structure and style, and in addition to mastery of the technicality of the course, successful and less successful student writing depends on their mastery of a specific set of moves within the essay. These moves integrate textual observations with clear explanations and a strong relation to interpretation.

Practical implications

While the course and strategies discussed are for tertiary-level students, the strategies described are adaptable to primary and secondary levels also. Multimodal texts are an integral part of the English curriculum, and all teachers need to explore strategies for enabling their students’ critical engagement with such texts.

Originality/value

Visual and multimodal texts are an exciting and also challenging part of English curricula, and new analytical frameworks and pedagogical strategies are needed to tackle these texts. In particular, the gap between simply describing visual resources (applying the tools) and critical analysis (using the tools) is vast, and specific pedagogical strategies are needed to help students develop the necessary interpretive language.

Details

English Teaching: Practice & Critique, vol. 18 no. 1
Type: Research Article
ISSN: 1175-8708

Keywords

Article
Publication date: 29 September 2020

Susan Hoadley

The paper presents an investigation into the validity and robustness of the concept of competitive productivity (CP) using linguistic analysis and theory to explore the…

Abstract

Purpose

The paper presents an investigation into the validity and robustness of the concept of competitive productivity (CP) using linguistic analysis and theory to explore the foundational CP concepts and the relationships between them.

Design/methodology/approach

The aim of this paper is to make a theoretical contribution to the conceptualisation of CP in order to inform its understanding, measurement and application.

Findings

The investigation indicates the relevance of three dimensions (instantiation, stratification and system) to understand CP as a complex, multidimensional system. Instantiation both clarifies CP as a multilevel system and highlights the need for an additional dimension(s) to understand the relationship between national, firm and individual CP (NCP, FCP and ICP). In combination, the two dimensions of stratification and system model CP as a series of nested strata (theory/models, concepts, constructs, variables and measures) through which marketing and management theory and knowledge is created and demonstrate how the options at each level can be articulated as system networks.

Research limitations/implications

Managing the complexity of CP by mapping different aspects along different dimensions and, in doing so, better understanding the nature of and relationships between different phenomena within the domain can potentially inform future qualitative and quantitative research in business studies and beyond.

Originality/value

The paper uses a novel, interdisciplinary approach to demonstrate the existence of CP as a complex, multidimensional system, where such dimensions inform the understanding, measurement and application of CP, and so is of value to marketing and management researchers and practitioners.

Details

Cross Cultural & Strategic Management, vol. 28 no. 1
Type: Research Article
ISSN: 2059-5794

Keywords

Article
Publication date: 8 May 2018

Ronald F. Pol

This article aims to constructively critique the new global methodology for evaluating the effectiveness of anti-money laundering regimes against defined outcomes.

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Abstract

Purpose

This article aims to constructively critique the new global methodology for evaluating the effectiveness of anti-money laundering regimes against defined outcomes.

Design/methodology/approach

With surprisingly little discussion at the intersection of the money laundering and policy effectiveness and outcomes scholarship and practice, this article combines elements of these disciplines and recent peer-review evaluations, to qualitatively assess the Financial Action Task Force’s (FATF’s) anti-money laundering “effectiveness” methodology.

Findings

FATF’s “effectiveness” methodology does not yet reflect an outcome-oriented framework as it purports. Misapplication of outcome labels to outputs and activities miss an opportunity to evaluate outcomes, as the impact and effect of anti-money laundering policies.

Practical implications

If the “outcomes” of the “effectiveness” framework do not match the crime and terrorism prevention policy goals of nation states, the new “main” component for assessing the effectiveness of anti-money laundering regimes potentially detracts focus and resources from, rather than towards, intended policy objectives.

Originality/value

There is a dearth of scholarship whether the global anti-money laundering “effectiveness” framework is sufficiently robust to assess effectiveness as it purports. This article begins addressing that gap.

Details

Journal of Money Laundering Control, vol. 21 no. 2
Type: Research Article
ISSN: 1368-5201

Keywords

Article
Publication date: 1 February 2011

Renata Fox

The purpose of this paper is to argue for the usefulness of the sociolinguistic perspective and sociolinguistic theories for knowledge production in corporate naming research.

2050

Abstract

Purpose

The purpose of this paper is to argue for the usefulness of the sociolinguistic perspective and sociolinguistic theories for knowledge production in corporate naming research.

Design/methodology/approach

Companies' naming practices have been researched from various aspects, mainly within the disciplinary frame of organisational studies, and with a focus on corporate branding. Because a company name is a sociolinguistic representation, and corporate naming a sociolinguistic process, it is logical to assume that corporate naming research can benefit significantly by embracing a sociolinguistic perspective.

Findings

The paper explains how (socio)linguistics can help organisational scholars to view corporate naming practices as interacting with cognition, society and social knowledge, and as a product of defined social circumstances. Once perceived as accredited within organisational studies, (socio)linguistics, the paper suggests, will become an integral part of theorising both organisational discourse and corporate naming as a part of that discourse.

Practical implications

An increased transdisciplinarity of the research into corporate naming practices will definitely contribute to the marketability and commercial value of the knowledge thus produced.

Originality/value

Advocating a dialogue between corporate naming research and (socio)linguistics, this paper constitutes yet another step towards overcoming limitations the disciplinary frame of organisational studies imposes upon research into discourse‐related issues within an organisation.

Details

Corporate Communications: An International Journal, vol. 16 no. 1
Type: Research Article
ISSN: 1356-3289

Keywords

Content available
Article
Publication date: 5 May 2015

Gretchen Larsen and Noel Dennis

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Abstract

Details

Arts and the Market, vol. 5 no. 1
Type: Research Article
ISSN: 2056-4945

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