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Exploring health work: a critical-action perspective.

John Hassard1, Paula Hyde1, Julie Wolfram Cox2

  • 1Alliance Manchester Business School, University of Manchester , Manchester, UK.

Journal of Health Organization and Management
|September 22, 2017
PubMed
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This study introduces a critical-action theory for analyzing UK National Health Service (NHS) management. It reveals how new public management practices diminish clinician power through managerialist approaches.

Area of Science:

  • Sociology
  • Health Management
  • Organizational Studies

Background:

  • The UK National Health Service (NHS) faces complex management challenges.
  • Ethnographic studies are crucial for understanding healthcare organizations.
  • Sociological analysis offers valuable insights into management practices.

Purpose of the Study:

  • To describe a hybrid research approach, critical-action theory, for studying NHS management.
  • To demonstrate the application of critical-action theory in health management.
  • To contribute to critical health management studies.

Main Methods:

  • A multi-researcher, ethnographic study of NHS management.
  • Elaboration of a hybrid sociological analysis: critical-action theory.
Keywords:
Action researchCritical healthcare managementCritical theoryCritical thinkingCritical-actionEthnographyMultidisciplinary research

Related Experiment Videos

  • Application of the critical-action perspective across four health service sectors.
  • Main Results:

    • The critical-action perspective facilitates analysis of macro, meso, and micro effects in health service organization.
    • New public management practices have been observed to drain power from clinicians.
    • Managerialist discourses and practices are key mechanisms in this power shift.

    Conclusions:

    • The critical-action perspective provides a valuable adjunct to traditional methods for studying health service organization.
    • Micro-, meso-, and macro-level analyses are essential for healthcare organizations to understand external decision impacts.
    • This approach aids in making sense of externally driven changes within healthcare settings.