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Processing Institutional Change in Public Service Provision

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  • Ingo Bode

Abstract

With the proliferation of New Public Management (NPM) worldwide, public service providing agencies are increasingly expected to operate in a business-like manner and exposed to ‘competing institutional logics’. Exploring the German hospital sector, this article shows that this is processed within two areas of collective action simultaneously: at enterprise-level and at the regulatory infrastructure of the organizational field. In both places, ‘institutional work’ takes place, albeit differently. With emerging tensions, trial-and-error strategies (deployed by individual hospitals) and mitigating (regulatory) measures engender a nervous cohabitation of the two logics, endangering potentially the sector’s public mission in the long term. Copyright Springer Science+Business Media New York 2013

Suggested Citation

  • Ingo Bode, 2013. "Processing Institutional Change in Public Service Provision," Public Organization Review, Springer, vol. 13(3), pages 323-339, September.
    • Handle: RePEc:kap:porgrv:v:13:y:2013:i:3:p:323-339
    DOI: 10.1007/s11115-012-0201-z
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    References listed on IDEAS

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    1. Koelewijn, Wout T. & Ehrenhard, Michel L. & Groen, Aard J. & van Harten, Wim H., 2012. "Intra-organizational dynamics as drivers of entrepreneurship among physicians and managers in hospitals of western countries," Social Science & Medicine, Elsevier, vol. 75(5), pages 795-800.
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    3. Sauerland, Dirk, 2009. "The legal framework for health care quality assurance in Germany," Health Economics, Policy and Law, Cambridge University Press, vol. 4(1), pages 79-98, January.
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    5. Ståle Opedal & Hilmar Rommetvedt, 2010. "From Politics to Management -- or More Politics?," Public Management Review, Taylor & Francis Journals, vol. 12(2), pages 191-212, March.
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