IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v34y2019i1pe934-e946.html
   My bibliography  Save this article

The ethnographer as health service leader: An insider's view of organisational change

Author

Listed:
  • Bie Nio Ong

Abstract

Purpose The conceptual presentation of a detailed case study of structural reorganisation in the English NHS illustrates what factors lead to productive or unproductive organisational change. Findings This autoethnography of a NHS Trust chair provides an account of two reorganisations over an 8‐year period. The paper is based on diaries that allow for the presentation of examples that highlight different processes and outcomes. The various actors in the two reorganisations gave complex and multilayered meanings to structural changes and their impact. Two theoretical frameworks helped to analyse the dynamics of productive and unproductive changes. Conclusion It is argued that structural change rarely delivers and that working through people and paying due attention to their motivations and moral imperatives will more likely produce benefits to organisations, staff, and patients.

Suggested Citation

  • Bie Nio Ong, 2019. "The ethnographer as health service leader: An insider's view of organisational change," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 934-946, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e934-e946
    DOI: 10.1002/hpm.2708
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.2708
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.2708?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Fulop, Naomi & Protopsaltis, Gerasimos & King, Annette & Allen, Pauline & Hutchings, Andrew & Normand, Charles, 2005. "Changing organisations: a study of the context and processes of mergers of health care providers in England," Social Science & Medicine, Elsevier, vol. 60(1), pages 119-130, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fulop, Naomi & Walters, Rhiannon & 6, Perri & Spurgeon, Peter, 2012. "Implementing changes to hospital services: Factors influencing the process and ‘results’ of reconfiguration," Health Policy, Elsevier, vol. 104(2), pages 128-135.
    2. Walter Locatelli & Angela Testi & Filippo Ansaldi & Marta Giachello & Cinzia Panero & Valentino Tisa & Cecilia Trucchi, 2019. "Governance delle reti sanitarie: i Dipartimenti Inter-Aziendali Regionali (DIAR) nel nuovo sistema sanitario ligure," MECOSAN, FrancoAngeli Editore, vol. 2019(109), pages 57-81.
    3. Fraser, Alec & Baeza, Juan & Boaz, Annette & Ferlie, Ewan, 2019. "Biopolitics, space and hospital reconfiguration," Social Science & Medicine, Elsevier, vol. 230(C), pages 111-121.
    4. Angeli, Federica & Maarse, Hans, 2012. "Mergers and acquisitions in Western European health care: Exploring the role of financial services organizations," Health Policy, Elsevier, vol. 105(2), pages 265-272.
    5. Vanessa Cirulli & Giorgia Marini, 2023. "Do mergers really increase output? Evidence from English hospitals," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 94(1), pages 159-189, March.
    6. Aldo Bonadies & Rita Mancini & Marilia Maci & Chiara Gibertoni & Anna Maria Petrini, 2020. "Laboratorio Unico Metropolitano: innovazione e alta tecnologia per un nuovo paradigma di medicina di laboratorio," MECOSAN, FrancoAngeli Editore, vol. 0(115), pages 79-94.
    7. Calciolari, Stefano & Ilinca, Stefania, 2016. "Unraveling care integration: Assessing its dimensions and antecedents in the Italian Health System," Health Policy, Elsevier, vol. 120(1), pages 129-138.
    8. Choi, Soki & Holmberg, Ingalill & Löwstedt, Jan & Brommels, Mats, 2011. "Executive management in radical change--The case of the Karolinska University Hospital merger," Scandinavian Journal of Management, Elsevier, vol. 27(1), pages 11-23, March.
    9. Jones, Lorelei & Fulop, Naomi, 2021. "The role of professional elites in healthcare governance: Exploring the work of the medical director," Social Science & Medicine, Elsevier, vol. 277(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e934-e946. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.