Showing papers by "Rod Sheaff published in 2010"
TL;DR: In these networks, artefacts adapted to health system reform faster than espoused values did, and the latter adapted faster than basic underlying assumptions, contributing to knowledge by providing empirical support for theories which hold that changes in networks' core practical activity are what stimulate changes in other aspects of network macroculture.
41 citations
01 Jan 2010
TL;DR: Health care networks have correspondingly proliferated and now include professional (expertise) networks: clinical referral (care) networks; project networks; programme (linkage) networks such as WHO-style programmes; experience networks of users and carers; policy networks (including policy communities as a special case); learning networks; and interest networks which promote particular policy or interest group as mentioned in this paper.
Abstract: For policy-makers who favour health system marketization, that is the re-structuring of health systems to mimic the organizational structures and inter-organizational relationships found in markets, networks offer a surrogate governance structure in those parts of a ‘hollowed-out state’ where direct hierarchical control of individuals or organizations has been removed (Etzioni, 2001; Rhodes, 1997), supplementing hierarchies and markets as a ‘third way’ governance structure. Health care networks have correspondingly proliferated and now include professional (’expertise’) networks: clinical referral (’care’) networks; project networks; programme (linkage’) networks such as WHO-style programmes; ‘experience’ networks of users and carers; policy networks (including policy ‘communities’ as a special case); learning networks; and interest networks which promote particular policy or interest-group (Southon, Perkins and Galler, 2005). Meantime, ‘reforms’ of health-care bureaucracies have proceeded apace in many countries as have attempts to re-introduce or extend health-care markets.
1 citations