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A new mode of organizing in health care? Governmentality and managed networks in cancer services in England

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Ferlie, Ewan, McGivern, Gerry and Fitzgerald, Louise (2012) A new mode of organizing in health care? Governmentality and managed networks in cancer services in England. Social Science & Medicine, Vol.74 (No.3). pp. 340-347. doi:10.1016/j.socscimed.2011.03.021 ISSN 0277-9536.

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Official URL: http://dx.doi.org/10.1016/j.socscimed.2011.03.021

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Abstract

We explore the argument that a new mode of health care organizing is emerging which moves beyond the established professional dominance versus New Public Management (NPM) debate. We review Foucault’s work on ‘governmentality’, as applied to health care organizations. We specify two specific Foucauldian themes (the power/knowledge nexus in Evidence Based Medicine (EBM); and the technologies of the clinical managerial self) to analyse organizing in the English cancer services field. We introduce two qualitative case studies of Managed Cancer Networks. We suggest their governance can be fruitfully seen through a ‘governmentality’ lens. We consider implications for developing Foucauldian analysis of health care organizations.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Warwick Business School > International Centre for Governance & Public Management
Faculty of Social Sciences > Warwick Business School > Industrial Relations & Organisational Behaviour
Journal or Publication Title: Social Science & Medicine
Publisher: Elsevier
ISSN: 0277-9536
Official Date: 2012
Dates:
DateEvent
2012Published
Volume: Vol.74
Number: No.3
Page Range: pp. 340-347
DOI: 10.1016/j.socscimed.2011.03.021
Status: Peer Reviewed
Publication Status: Published

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