Abstract
The language of cultural change is increasingly employed in relation to organizational reforms aimed at improving the efficiency and responsiveness of health systems in many countries. In the wake of high-profile reports documenting gross medical errors in the United States, policy thinking is embracing the notion of culture change as a key element of health system redesign (Institute of Medicine, 1999; Davies et al., 2000) and there is evidence to suggest that many other OECD countries are focusing on cultural renewal and change as a potential lever for health care improvement (Smith, 2002).
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References
Bowles, S. (1998) ‘Endogenous preferences: The cultural consequences of markets and other economic institutions’, Journal of Ecouomic Literature, 36, 75–111.
Broadbent, J. and Laughlin, R. et al. (1992) ‘Recent financial and administrative changes in general practice. An unhealthy intrusion into medical autonomy’, Financial Accountability, 8, 129–48.
Cameron, K. and Freeman, S. (1991) ‘Culture, congruence, strength and type: Relationship to effectiveness’, Research in Organizational Change and Development, 5, 23–58.
Carrillo, J.D. and Gromb, D. (1999) ‘On the strength of corporate cultures’, European Economic Review, 43, 1021–37.
Davies, H.T.O. (2002) ‘Understanding organizational culture in reforming the National Health Service’, Journal of the Royal Society of Medicine, 95, 140–2.
Davies, H.T.O. and Mannion, R. (2000) ‘Clinical governance: Striking a balance between checking and trusting’, in P.C. Smith (ed.), Reforming Health Care Markets: An Economic Perspective. Buckingham: Open University Press.
Davies, H.T.O, Nutley S.M. and Mannion, R. (2000) ‘Organisational culture and quality of health care’, Quality in Health Care, 9, 111–19.
Deci, E.L. and Ryan, R. (1987) ‘The support of autonomy and the control of behaviour’, Journal of Personality and Social Psychology, 53, 1024–37.
Department of Health (2001) Learning from Bristol: The Department of Health’s Response to the Report of the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984–1995. London: Department of Health.
DHSS (1984) Health Services Management: Implementation of the NHS Management Inquiry. London: DHSS.
Flynn, R. and Williams, G. (eds) (1997) Contracting for Health: Quasi-Markets and the National Health Service. Oxford: Oxford University Press.
Gerowitz, M.B. (1998) ‘Do TQM interventions change management culture? Findings and implications’, Quality Management in Health Care, 6 (3), 1–11.
Gerowitz, M.B. and Lemieux-Charles, L. et al. (1996) ‘Top management culture and performance in Canadian, UK and US hospitals’, Health Services Management Research, 9, 69–78.
Handy, C.B. (1985) Understanding Organizations, 3rd edn. Harmondsworth: Penguin.
Harrison, S. (1988) Managing the National Health Service: Shifting the Frontier? London: Chapman and Hall.
Harrison, S., Hunter, D J., Marnoch, G. and Pollitt, C. (1992) Just Managing: Power and Culture in the National Health Service. London: Macmillan.
Harrison, S. and Lim, J. (2003) ‘The frontier of control: Doctors and managers in the NHS 1966 to 1997’, Clinical Governance International, 8 (2), 13–17.
Hermalin, B.E. (2000) Economics and Corporate Culture. UC Berkeley, Department of Economics working paper, University of California.
Hodgson, G.M. (1996) ‘Corporate culture and the nature of the firm’, in Groenewegen (ed.), Transaction Cost Economics and Beyond. Boston, MA: Kluwer Academic Press.
Institute of Medicine (1999) To Erris Human: Buildinga Safer Health System. Washington, DC: National Academy Press.
Jones, C. and Dewing, I. (1997) ‘The attitudes of NHS clinicians and medical managers towards changes in accounting controls’, Financial Accountability and Management, 13, 261–80.
Kennedy, I. (2001) Learning from Bristol: Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984–1995. London: Stationery Office, 2001.
Kreps, D.M. (1990) ‘Corporate culture and economic theory’, in J.E. Alt and K.A. Shepsle (eds), Perspectives on Positive Political Economy. Cambridge: Cambridge University Press.
Le Grand, J. and Mays, N. et al. (eds) (1998) Learning from the NHS Internal Market: A Review of the Evidence. London: King’s Fund.
Mannion, R., Davies, H.T.O. and Marshall, M.N. (2005a) ‘Cultural attributes of “high” and “low” performing hospitals’, Journal of Health Organization and Management, 1 (6), 431–9.
Mannion, R., Davies, H.T.O. and Marshall, M.N. (2005b), Cultures for Performance in Health Care. Milton Keynes: Open University Press.
Mannion, R., Goddard, M. and Bate, A. (2007) ‘Aligning incentives and motivations in health care’, Financial Accountability and Management, 23 (4), 401–20.
Mannion, R. (2008) ‘General Practitioner commissioning in the English National Health Service: Continuity, change and future challenges’, International Journal of Health Services, 38 (4), 717–30.
Mannion, R. and Street, A. (2009) ‘Managing activity and expenditure in the new NHS market’, Public Money and Management, 29 (1), 27–34.
Marquand, D. (1988) The Unprincipled Society: New Demands and Old Politics. London: Jonathan Cape.
Marquand, D. (1988) The Unprincipled Society. London: Fontana Press.
Mintzberg, H. (1991) ‘The Professional Organisation’, in Mintzberg, H. and Quinn, J.B. (eds), The Strategy Process: Concepts, Contexts, Cases. 2nd edn. London: Prentice Hall.
NHS Management Inquiry (1983) Report (Chairman Mr ER Griffiths). London: Department of Health.
Pettigrew, A.M., Ferlie, E. and McKee, L. (1992) Shaping Strategic Change: Making Change in Large Organisations — the Case of the NHS. London: Sage.
Scott, J.T., Mannion, R. and Marshall, M.N. (2003a) Healthcare Performance and Organisational Culture. Oxford: Radcliffe Medical Press.
Scott, T. and Mannion, R., et al. (2003b) ‘The quantitative measurement of organizational culture in health care: A review of the available instruments’, Health Services Research, 38 (3), 923–45.
Shortell, S. and Jones, R. et al. (2000) ‘Assessing the impact of total quality management and organizational culture on multiple outcomes of care for coronary artery bypass graft surgery patients’, Medical Care, 38 (2), 201–17.
Smith, P. (ed.) (2002) Measuring Up: improving health system performance in OECD countries. Paris: OECD.
Smith, P., Mannion, R. and Goddard, M. (2003) Performance Management in Health Care: Information, Incentives and Culture, HM Treasury Public Services Productivity Discussion Papers. London: HM Treasury.
Throsby, D. (2001) Economics and Culture. Cambridge: Cambridge University Press.
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© 2010 Russell Mannion, Huw Davies, Stephen Harrison, Frederick Konteh, Rowena Jacobs and Kieran Walshe
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Mannion, R., Davies, H., Harrison, S., Konteh, F., Jacobs, R., Walshe, K. (2010). Changing Management Cultures in the English National Health Service. In: Braithwaite, J., Hyde, P., Pope, C. (eds) Culture and Climate in Health Care Organizations. Organizational Behaviour in Health Care. Palgrave Macmillan, London. https://doi.org/10.1057/9780230274341_3
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DOI: https://doi.org/10.1057/9780230274341_3
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