TY - CHAP
T1 - Analysing the Micro Implementation of Health Care Reforms
T2 - A Decentred Approach
AU - Baeza, Juan I.
AU - Fraser, Alec
AU - Boaz, Annette
N1 - Publisher Copyright:
© 2020, The Author(s).
PY - 2020
Y1 - 2020
N2 - The network governance narrative of public management reform sponsored by post New Public Management (NPM) authors (Pollitt and Bouckaert in Public management reform: A comparative analysis, 3rd ed. Oxford University Press, Oxford, 2011; Christensen and Lsgreid in Transcending new public management: The transformation of public sector reforms. Ashgate, Aldershot, 2007) promoted more integrated and systemic approaches to the delivery of public services designed to address the fragmenting effects of earlier NPM reforms (Ferlie et al. in Health Services Management Research 30: 61–71, 2016). The different streams of governance have created what Jones (Jones in Decentring health policy, Routledge, Oxon, 2018) terms a complex sedimented governance architecture. While the NPM approach emphasises managerial authority and top-down implementation, network governance works through collaboration and partnerships. In this binary theoretical field, the decentred theory of governance offers a different perspective that focuses on how ‘people see the world’ (Bevir and Rhodes in A decentered theory of governance: Rational choice, institutionalism, and interpretation (UC Berkeley Working Papers), Berkeley, University of California, 2001). In this paper we use a bottom-up decentred lens to understand how local actors perceive reforms and use their agency to make sense of the changes in the delivery of stroke services.
AB - The network governance narrative of public management reform sponsored by post New Public Management (NPM) authors (Pollitt and Bouckaert in Public management reform: A comparative analysis, 3rd ed. Oxford University Press, Oxford, 2011; Christensen and Lsgreid in Transcending new public management: The transformation of public sector reforms. Ashgate, Aldershot, 2007) promoted more integrated and systemic approaches to the delivery of public services designed to address the fragmenting effects of earlier NPM reforms (Ferlie et al. in Health Services Management Research 30: 61–71, 2016). The different streams of governance have created what Jones (Jones in Decentring health policy, Routledge, Oxon, 2018) terms a complex sedimented governance architecture. While the NPM approach emphasises managerial authority and top-down implementation, network governance works through collaboration and partnerships. In this binary theoretical field, the decentred theory of governance offers a different perspective that focuses on how ‘people see the world’ (Bevir and Rhodes in A decentered theory of governance: Rational choice, institutionalism, and interpretation (UC Berkeley Working Papers), Berkeley, University of California, 2001). In this paper we use a bottom-up decentred lens to understand how local actors perceive reforms and use their agency to make sense of the changes in the delivery of stroke services.
UR - http://www.scopus.com/inward/record.url?scp=85133156527&partnerID=8YFLogxK
U2 - 10.1007/978-3-030-40889-3_3
DO - 10.1007/978-3-030-40889-3_3
M3 - Chapter
AN - SCOPUS:85133156527
T3 - Organizational Behaviour in Healthcare
SP - 43
EP - 65
BT - Organizational Behaviour in Healthcare
PB - Palgrave Macmillan
ER -
