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How do managerial techniques evolve over time? The distortion of “facilitation” in healthcare service improvement

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  • Roman Kislov
  • John Humphreys
  • Gill Harvey

Abstract

When applied to solving real-world problems in the public sector, managerial techniques are likely to evolve over time in response to the context of their implementation. The temporal dynamics of this evolution and its underlying processes, however, remain under-researched. To address this gap, we present a qualitative longitudinal case study of a UK-based knowledge mobilization programme utilizing “facilitation” as a service improvement approach. We describe the processes underpinning the distortion of facilitation over time and argue that an uncritical and uncontrolled adaptation of managerial techniques may mask the unsustainable nature of the resulting improvement outcomes captured by conventional performance measurement.

Suggested Citation

  • Roman Kislov & John Humphreys & Gill Harvey, 2017. "How do managerial techniques evolve over time? The distortion of “facilitation” in healthcare service improvement," Public Management Review, Taylor & Francis Journals, vol. 19(8), pages 1165-1183, September.
    • Handle: RePEc:taf:rpxmxx:v:19:y:2017:i:8:p:1165-1183
    DOI: 10.1080/14719037.2016.1266022
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    Cited by:

    1. Renato Civitillo & Paolo Ricci & Biagio Simonetti, 2019. "Management and performance of Non-Profit Institutions: finding new development trajectories—evidence from Italy," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(5), pages 2275-2290, September.
    2. Annette Boaz & Robert Borst & Maarten Kok & Alison O’Shea, 2021. "How far does an emphasis on stakeholder engagement and co-production in research present a threat to academic identity and autonomy? A prospective study across five European countries [Systems Thin," Research Evaluation, Oxford University Press, vol. 30(3), pages 361-369.

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