Rhetorics of efficiency, fashion and politics - Hospital mergers in Quebec

被引:18
作者
Comtois, E [1 ]
Denis, JL
Langley, A
机构
[1] Canadian Hlth Serv Res Fdn, Ottawa, ON, Canada
[2] Univ Montreal, Dept Adm Sante, Montreal, PQ H3C 3J7, Canada
[3] HEC Montreal, Montreal, PQ, Canada
关键词
discourse analysis; hospital mergers; institutionalism; managerial ideas; politics;
D O I
10.1177/1350507604045608
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
Drawing on a content analysis of discourse surrounding five sequential hospital merger decisions, this research examines the role of efficienty considerations, fashion and politics in stimulating the adoption of a managerial idea. The article analyses how different arguments come to be intertwined. It illustrates how rational and institutional arguments are used to legitimate political strategies while simultaneously constituting the apparatus of legitimation for others in a reciprocal process that contributes to the persistence of those same strategies. The article thus confirms the key role of politics, interests and agency in the evolution and constitution of institutions, and in the diffusion Of managerial ideas.
引用
收藏
页码:303 / 320
页数:18
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