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Corporatisation and the emergence of (under-managered) managed organisations : the case of English public hospitals
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Kirkpatrick, I., Altanlar, A. and Veronesi, G. (2017) Corporatisation and the emergence of (under-managered) managed organisations : the case of English public hospitals. Organization Studies, 38 (12). pp. 1687-1708. doi:10.1177/0170840617693273 ISSN 0170-8406.
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Official URL: https://doi.org/10.1177/0170840617693273
Abstract
An enduring feature of new public management (NPM) in many countries has been the move to create more autonomous, ?complete? organisations such as universities, hospitals and social service agencies. Often referred to as ?corporatisation?, this process is assumed to be leading to the emergence of new organisational forms with dedicated management functions and a greater focus on strategy. However, these assumptions remain largely untested and rely heavily on ?technical? accounts of organisational restructuring, ignoring the potential influence of institutional pressures and internal political dynamics. In this paper, we address this concern focusing on the case of acute care public hospitals that have undergone corporatisation (to become Foundation Trusts) in the English National Health Service. Using administrative data spanning six years (2007-2012), the analysis shows that corporatisation is having mixed effects. While it is associated with a shift in the focus of managers to strategic concerns, it has not led to an expansion of management functions overall. Both tendencies are found to be mediated by institutional pressures, in the form of media scrutiny, and, indirectly, by the involvement of clinical professions in management. These results advance ongoing debates about the emergence of new organisational forms in the public sector, highlighting the limitations of technical accounts of change and raising the possibility that corporatisation is leading to organisations that are both more managed and undermanagered at the same time.
Item Type: | Journal Article | ||||||||
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Divisions: | Faculty of Social Sciences > Warwick Business School | ||||||||
Journal or Publication Title: | Organization Studies | ||||||||
Publisher: | Sage Publications Ltd. | ||||||||
ISSN: | 0170-8406 | ||||||||
Official Date: | 1 December 2017 | ||||||||
Dates: |
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Volume: | 38 | ||||||||
Number: | 12 | ||||||||
Page Range: | pp. 1687-1708 | ||||||||
DOI: | 10.1177/0170840617693273 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Reuse Statement (publisher, data, author rights): | This is an author produced version of a paper accepted for publication in Organization Studies. Uploaded in accordance with the publisher's self-archiving policy. | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
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