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
相关论文
共 35 条
[11]   The struggle to implement teaching-hospital mergers [J].
Denis, JL ;
Lamothe, L ;
Langley, A .
CANADIAN PUBLIC ADMINISTRATION-ADMINISTRATION PUBLIQUE DU CANADA, 1999, 42 (03) :285-311
[12]  
DiMaggio P., 1988, I PATTERNS ORG CULTU, P3, DOI DOI 10.1016/J.GEOFORUM.2020.02.013
[13]   The iron cage revisited - Institutional isomorphism and collective rationality in organizational fields (Reprinted from the American Sociological Association vol 48, pg 147-160, 1983) [J].
DiMaggio, PJ ;
Powell, WW .
ADVANCES IN STRATEGIC MANAGEMENT, VOL 17, 2000: ECONOMICS MEETS SOCIOLOGY IN STRATEGIC MANAGEMENT, 2000, 17 :143-166
[14]   COST REDUCTIONS OR REPUTATION ENHANCEMENT AS MOTIVES FOR MERGERS - THE LOGIC OF MULTIHOSPITAL SYSTEMS [J].
DRANOVE, D ;
SHANLEY, M .
STRATEGIC MANAGEMENT JOURNAL, 1995, 16 (01) :55-74
[15]   INFORMATION IN ORGANIZATIONS AS SIGNAL AND SYMBOL [J].
FELDMAN, MS ;
MARCH, JG .
ADMINISTRATIVE SCIENCE QUARTERLY, 1981, 26 (02) :171-186
[16]   Economies of scale and scope as an explanation of merger and output diversification activities in the Health Maintenance Organization industry [J].
Given, RS .
JOURNAL OF HEALTH ECONOMICS, 1996, 15 (06) :685-713
[17]   Theorizing change: The role of professional associations in the transformation of institutionalized fields [J].
Greenwood, R ;
Suddaby, R ;
Hinings, CR .
ACADEMY OF MANAGEMENT JOURNAL, 2002, 45 (01) :58-80
[18]   Mobilizing the logic of managerialism in professional fields: The case of academic health centre mergers [J].
Kitchener, M .
ORGANIZATION STUDIES, 2002, 23 (03) :391-420
[19]   Consequences of organizational change in US hospitals [J].
Lee, SYD ;
Alexander, JA .
MEDICAL CARE RESEARCH AND REVIEW, 1999, 56 (03) :227-276
[20]  
Markham B, 1995, Healthc Manage Forum, V8, P24