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 ISSN 0277-9536.

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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
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:	Date Event August 2016 Published 11 June 2016 Available 9 June 2016 Accepted 9 September 2015 Submitted
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
Date of first compliant deposit:	13 June 2016
Date of first compliant Open Access:	11 June 2017

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