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- Eriksson, Erik, 1977, et al.
(författare)
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Post-New Public Management in Public Healthcare: Recycled, Hybridized, Paradigmatic?
- 2019
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Ingår i: British Academy of Management (BAM) 2019 Conference. - : British Academy of Management.
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Konferensbidrag (refereegranskat)abstract
- New Public Management (NPM) is increasingly used pejoratively and claimed unfit for the complex challenges in contemporary societies, for example aging population structures and, as a result, increased number of cancer patients. Consequently, post-NPM gains increased attention. Drawing from a longitudinal case in Swedish cancer care, the present article seeks to pinpoint post-NPM in public healthcare practice. It is revealed that some post-NPM aspects are recycled by combining traditional public administration (pre-NPM) and NPM aspects: the former’s re-professionalisation is combined with the latter’s foci on performance measures, decentralisation, and accountability. Other post-NPM aspects are hybridizing typical NPM aspects with new (post-NPM) aspects: for instance, customer-focus is taken further to include the patient’s active participation in co-designing services, and standardization is reinterpreted to concern meeting-places rather than efficiency. Yet other aspects are replacing NPM shortcomings: for instance, trust is replacing control, and a systems approach is replacing the intra-organisational focus
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- Gadolin, Christian, et al.
(författare)
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Is Lean Becoming Institutionalized? – the Swedish Healthcare Case
- 2013
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Ingår i: Proceedings of the 22nd Nordic Academy of Management Conference (NFF) 21-23 August, 2013, Reykjavik, Iceland.
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Konferensbidrag (refereegranskat)abstract
- Since the dawn of New Public Management (NPM) the healthcare sector has been the target for several concepts imported from the private sector. This study takes its departure in the widely spread management concept Lean. Originally developed in the Japanese auto-industry the concept has diffused globally. During the past decade, interest in Lean has grown significantly in the healthcare sector in Sweden. Lean is used to achieve a process oriented care beyond NPM.The purpose of the study is to explore and investigate Lean in this particular context. We analyze the development of Lean to situate the state of institutionalization. We draw upon the ideas of management concepts as fashions to problematize and contrast the potential legitimacy gains of adaptation in relation to their diffusion and representation. The study covers Lean efforts in the healthcare sector by using a rhetorical text analysis of annual reports in which we track the development of the discourse of Lean.Our contribution is related the observed evolution where reasons to adapting Lean has surpassed a turning point, from legitimacy towards institutionalization where operationalization of Lean thoughts are approaching a state of becoming taken-for-granted.
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