IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v74y2012i3p340-347.html
   My bibliography  Save this article

A new mode of organizing in health care? Governmentality and managed networks in cancer services in England

Author

Listed:
  • Ferlie, Ewan
  • Mcgivern, Gerry
  • FitzGerald, Louise

Abstract

We explore the argument that a new mode of health care organizing is emerging which moves beyond the established professional dominance versus New Public Management (NPM) debate. We review Foucault’s work on ‘governmentality’, as applied to health care organizations. We specify two specific Foucauldian themes (the power/knowledge nexus in Evidence Based Medicine (EBM); and the technologies of the clinical managerial self) to analyse organizing in the English cancer services field. We introduce two qualitative case studies of Managed Cancer Networks. We suggest their governance can be fruitfully seen through a ‘governmentality’ lens. We consider implications for developing Foucauldian analysis of health care organizations.

Suggested Citation

  • Ferlie, Ewan & Mcgivern, Gerry & FitzGerald, Louise, 2012. "A new mode of organizing in health care? Governmentality and managed networks in cancer services in England," Social Science & Medicine, Elsevier, vol. 74(3), pages 340-347.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:3:p:340-347
    DOI: 10.1016/j.socscimed.2011.03.021
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953611001845
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2011.03.021?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
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Iedema, Rick & Flabouris, Arthas & Grant, Susan & Jorm, Christine, 2006. "Narrativizing errors of care: Critical incident reporting in clinical practice," Social Science & Medicine, Elsevier, vol. 62(1), pages 134-144, January.
    2. Waring, Justin J., 2009. "Constructing and re-constructing narratives of patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1722-1731, December.
    3. Mykhalovskiy, Eric & Weir, Lorna, 2004. "The problem of evidence-based medicine: directions for social science," Social Science & Medicine, Elsevier, vol. 59(5), pages 1059-1069, September.
    4. Kurunmaki, Liisa, 2004. "A hybrid profession--the acquisition of management accounting expertise by medical professionals," Accounting, Organizations and Society, Elsevier, vol. 29(3-4), pages 327-347.
    5. Ceci, Christine, 2004. "Nursing, knowledge and power: A case analysis," Social Science & Medicine, Elsevier, vol. 59(9), pages 1879-1889, November.
    6. May, Carl & Rapley, Tim & Moreira, Tiago & Finch, Tracy & Heaven, Ben, 2006. "Technogovernance: Evidence, subjectivity, and the clinical encounter in primary care medicine," Social Science & Medicine, Elsevier, vol. 62(4), pages 1022-1030, February.
    7. Shaw, Sara E. & Greenhalgh, Trisha, 2008. "Best research - For what? Best health - For whom? A critical exploration of primary care research using discourse analysis," Social Science & Medicine, Elsevier, vol. 66(12), pages 2506-2519, June.
    8. Stewart Clegg & David Courpasson & Nelson Phillips, 2006. "Power and organizations," Post-Print hal-02298067, HAL.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hedlund, M. & Landstad, B.J. & Tritter, J.Q., 2019. "The disciplining of self-help: Doing self-help the Norwegian way," Social Science & Medicine, Elsevier, vol. 225(C), pages 34-41.
    2. Martin, Graham P. & Leslie, Myles & Minion, Joel & Willars, Janet & Dixon-Woods, Mary, 2013. "Between surveillance and subjectification: Professionals and the governance of quality and patient safety in English hospitals," Social Science & Medicine, Elsevier, vol. 99(C), pages 80-88.
    3. Carter, Celina & Mohammed, Shan & Upshur, Ross & Kontos, Pia, 2021. "Biomedicalization of end-of-life conversations with medically frail older adults - Malleable and senescent bodies," Social Science & Medicine, Elsevier, vol. 291(C).
    4. Petrakaki, Dimitra & Hilberg, Eva & Waring, Justin, 2018. "Between empowerment and self-discipline: Governing patients' conduct through technological self-care," Social Science & Medicine, Elsevier, vol. 213(C), pages 146-153.
    5. Walsh, Mike & Kittler, Markus G. & Mahal, Dawn, 2018. "Towards a new paradigm of healthcare: Addressing challenges to professional identities through Community Operational Research," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1125-1133.
    6. Currie, Graeme & Dingwall, Robert & Kitchener, Martin & Waring, Justin, 2012. "Let’s dance: Organization studies, medical sociology and health policy," Social Science & Medicine, Elsevier, vol. 74(3), pages 273-280.
    7. Federica Segato & Cristina Masella, 2017. "Integrated care in action: opening the “black box” of implementation," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(1), pages 50-71, January.
    8. Marc Nikitin & Jean-Baptiste Capgras & Dragos Zelinschi, 2017. "Dynamiques de la gouvernementalité : concurrence et calcul des coûts dans le système de santé français," Post-Print hal-01907396, HAL.
    9. McGivern, Gerry & Nzinga, Jacinta & English, Mike, 2017. "‘Pastoral practices’ for quality improvement in a Kenyan clinical network," Social Science & Medicine, Elsevier, vol. 195(C), pages 115-122.

    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. Timmermans, Stefan & Almeling, Rene, 2009. "Objectification, standardization, and commodification in health care: A conceptual readjustment," Social Science & Medicine, Elsevier, vol. 69(1), pages 21-27, July.
    2. Fischer, Michael Daniel & Ferlie, Ewan, 2013. "Resisting hybridisation between modes of clinical risk management: Contradiction, contest, and the production of intractable conflict," Accounting, Organizations and Society, Elsevier, vol. 38(1), pages 30-49.
    3. Turner, Simon & Higginson, Juliet & Oborne, C. Alice & Thomas, Rebecca E. & Ramsay, Angus I.G. & Fulop, Naomi J., 2014. "Codifying knowledge to improve patient safety: A qualitative study of practice-based interventions," Social Science & Medicine, Elsevier, vol. 113(C), pages 169-176.
    4. Zuiderent-Jerak, Teun & Strating, Mathilde & Nieboer, Anna & Bal, Roland, 2009. "Sociological refigurations of patient safety; ontologies of improvement and 'acting with' quality collaboratives in healthcare," Social Science & Medicine, Elsevier, vol. 69(12), pages 1713-1721, December.
    5. Shaw, Sara E. & Petchey, Roland P. & Chapman, Jenifer & Abbott, Stephen, 2009. "A double-edged sword? Health research and research governance in UK primary care," Social Science & Medicine, Elsevier, vol. 68(5), pages 912-918, March.
    6. Doherty, Carole & Saunders, Mark N.K., 2013. "Elective surgical patients' narratives of hospitalization: The co-construction of safety," Social Science & Medicine, Elsevier, vol. 98(C), pages 29-36.
    7. Florian Becker-Ritterspach & Christoph Dörrenbächer, 2011. "An Organizational Politics Perspective on Intra-firm Competition in Multinational Corporations," Management International Review, Springer, vol. 51(4), pages 533-559, August.
    8. Perrotta, Manuela & Geampana, Alina, 2020. "The trouble with IVF and randomised control trials: Professional legitimation narratives on time-lapse imaging and evidence-informed care," Social Science & Medicine, Elsevier, vol. 258(C).
    9. Andreassen, Hege K., 2011. "What does an e-mail address add? - Doing health and technology at home," Social Science & Medicine, Elsevier, vol. 72(4), pages 521-528, February.
    10. Guylaine Loubet, 2011. "D'Hippocrate à Mercure : praticiens hospitaliers ou médecins gestionnaires ? Évolutions du métier et tensions de rôles ?," Post-Print hal-00650549, HAL.
    11. Robert Es & Thomas Pels, 2010. "The Political Dimension: Added Value for Cross-Cultural Analysis. Nozawa and Smits, Two CEOs and Their Public Statements," Journal of Business Ethics, Springer, vol. 91(3), pages 319-327, February.
    12. Ovretveit, John, 2009. "The contribution of new social science research to patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1780-1783, December.
    13. Laurie Field, 2017. "Interest Differences and Organizational Learning," Administrative Sciences, MDPI, vol. 7(3), pages 1-14, August.
    14. Fortwengel, Johann & Gutierrez Huerter O, Gabriela & Kostova, Tatiana, 2023. "Three decades of research on practice transfer in multinational firms: Past contributions and future opportunities," Journal of World Business, Elsevier, vol. 58(3).
    15. Rosanna Spanò & Adele Caldarelli & Luca Ferri & Marco Maffei, 2020. "Context, culture and control: a case study on accounting change in an Italian regional health service," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 24(1), pages 229-272, March.
    16. William J. Jackson & Audrey S. Paterson & Chris Pong & Simona Scarparo, 2011. "Cash Limits and Hospital Prescribing," Accountancy Discussion Papers 1101, Accountancy Research Group, Heriot Watt University.
    17. Paul Stenner & Raffaele De Luca Picione, 2023. "A Theoretically Informed Critical Review of Research Applying the Concept of Liminality to Understand Experiences with Cancer: Implications for a New Oncological Agenda in Health Psychology," IJERPH, MDPI, vol. 20(11), pages 1-21, May.
    18. Eric M. Anicich & Nathanael J. Fast & Nir Halevy & Adam D. Galinsky, 2016. "When the Bases of Social Hierarchy Collide: Power Without Status Drives Interpersonal Conflict," Organization Science, INFORMS, vol. 27(1), pages 123-140, February.
    19. Cavanagh, Alice & Shamsheri, Tahmina & Shen, Katrina & Gaber, Jessica & Liauw, Jessica & Vanstone, Meredith & Kouyoumdjian, Fiona, 2022. "Lived experiences of pregnancy and prison through a reproductive justice lens: A qualitative meta-synthesis," Social Science & Medicine, Elsevier, vol. 307(C).
    20. Waring, Justin J., 2009. "Constructing and re-constructing narratives of patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1722-1731, December.

    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:eee:socmed:v:74:y:2012:i:3:p:340-347. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    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.