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Moving from rational to normative ideologies of control over public involvement : a case of continued managerial dominance
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Croft, Charlotte, Currie, Graeme and Staniszewska, Sophie (2016) Moving from rational to normative ideologies of control over public involvement : a case of continued managerial dominance. Social Science & Medicine, 162 . pp. 124-132. doi:10.1016/j.socscimed.2016.06.010
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Official URL: http://dx.doi.org/10.1016/j.socscimed.2016.06.010
Abstract
Public Involvement (PI) is a strategic priority in global healthcare settings, yet can be seen as peripheral during decision making processes. Whilst extant research acknowledges variations in how policy is translated into practice, the majority attribute it to the limiting influence of professional hierarchies on the perceived ‘legitimacy’ of PI. Drawing on examples of three commissioning organisations within the English NHS, we outline how the variance in policy implementation for PI can be attributed to influence from the managers rather than professionals. In doing so we explore how rational ideologies of managerial control negatively impact PI. However, we also illustrate how PI alluded to in policy can be more successfully realised when organisational managers enact normative ideologies of control. Notwithstanding this assertion, we argue managerial domination exists even in the case of normative ideologies of control, to the detriment of more radical PI in service development.
| Item Type: | Journal Article | ||||||||||
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| Divisions: | Faculty of Social Sciences > Warwick Business School | ||||||||||
| Journal or Publication Title: | Social Science & Medicine | ||||||||||
| Publisher: | Elsevier | ||||||||||
| ISSN: | 0277-9536 | ||||||||||
| Official Date: | August 2016 | ||||||||||
| Dates: |
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| Date of first compliant deposit: | 13 June 2016 | ||||||||||
| Volume: | 162 | ||||||||||
| Page Range: | pp. 124-132 | ||||||||||
| DOI: | 10.1016/j.socscimed.2016.06.010 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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