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Social movements and the contested institutional identity of the hospital

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  • Kvåle, Gro
  • Torjesen, Dag Olaf

Abstract

Taking popular protest as a common reaction to changes in hospital services as its point of departure, this paper explores how a social movement has taken on the issue of the hospital as an institution. In the wake of the transformation of Norwegian public hospitals into health enterprises (trusts), this paper explores community resistance to the proposals and plans of decision-makers to restructure hospitals. The study is based on a qualitative and quantitative analysis of the website/blog for the local hospital movement's activities from 2007 until 2017 and of its involvement and resistance in respect of three instances of proposed change to the hospital structure during this period. The study reveals that the health enterprises and the managerialism they represent pose a threat to individual safety and sense of belonging, and to the preservation and identity of the local community. Moreover, the framing of the cause of the local hospital movement illuminates how the institutional identity of the hospital is highly contested between the institutional categories of ‘public administration’ on the one hand, and ‘the company’ on the other. The impact of the local hospital movement has proven modest in terms of influencing and reversing decisions to restructure hospitals, but it has been considerable in terms of cultural support for its concepts and values, not just concerning hospitals and health care services, but also with regard to democratic governance.

Suggested Citation

  • Kvåle, Gro & Torjesen, Dag Olaf, 2021. "Social movements and the contested institutional identity of the hospital," Social Science & Medicine, Elsevier, vol. 269(C).
    • Handle: RePEc:eee:socmed:v:269:y:2021:i:c:s0277953620308078
    DOI: 10.1016/j.socscimed.2020.113588
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    References listed on IDEAS

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    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.
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    3. Jones, Lorelei & Exworthy, Mark, 2015. "Framing in policy processes: A case study from hospital planning in the National Health Service in England," Social Science & Medicine, Elsevier, vol. 124(C), pages 196-204.
    4. Farmer, Jane & Prior, Maria & Taylor, Judy, 2012. "A theory of how rural health services contribute to community sustainability," Social Science & Medicine, Elsevier, vol. 75(10), pages 1903-1911.
    5. Suddaby, Roy & Ganzin, Max & Minkus, Alison, 2017. "Craft, magic and the re-enchantment of the world," European Management Journal, Elsevier, vol. 35(3), pages 285-296.
    6. Foley, Conor & Droog, Elsa & Healy, Orla & McHugh, Sheena & Buckley, Claire & Browne, John Patrick, 2017. "Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration," Health Policy, Elsevier, vol. 121(7), pages 800-808.
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    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 25th January 2021
      by Chris Sampson in The Academic Health Economists' Blog on 2021-01-25 12:01:17

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    Cited by:

    1. Laurent Mériade & Corinne Rochette, 2022. "Governance tensions in the healthcare sector: a contrasting case study in France," Post-Print hal-03516559, HAL.

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