'Real-world' priority setting for service improvement in English primary care: a decentred approach.

IF 5 2区 管理学 Q1 MANAGEMENT
Roman Kislov, Kath Checkland, Paul M Wilson, Susan J Howard
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引用次数: 3

Abstract

This article develops an analysis of population-level priority setting informed by Bevir's decentred theory of governance and drawing on a qualitative study of priority setting for service improvement conducted in the complex multi-layered governance context of English primary care. We show how powerful actors, operating at the meso-level, utilize pluralistic and contradictory elements of complex governance networks to discursively construct, legitimize and enact service improvement priorities. Our analysis highlights the role of situated agency in integrating top-down, bottom-up and horizontal influences on priority setting, which leads to variation in local priorities despite the continuous presence of strong hierarchical influences.

Abstract Image

Abstract Image

“现实世界”优先设置服务改进在英国初级保健:一个分散的方法。
本文在贝维尔的分散式治理理论的指导下,对人口层面的优先级设置进行了分析,并借鉴了在英国初级保健复杂的多层治理背景下进行的服务改进优先级设置的定性研究。我们展示了强大的参与者如何在中子星上运作,利用复杂治理网络的多元和矛盾元素来话语性地构建、合法化和制定服务改进优先事项。我们的分析强调了所处机构在整合自上而下、自下而上和横向对优先事项设置的影响方面的作用,这导致了尽管持续存在强大的等级影响,但地方优先事项的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.90
自引率
16.30%
发文量
0
期刊介绍: Public Management Review seeks to: -explore the developing field of public management -embrace research both about the strategic and operational management of public services and about social/public policy development and implementation -encourage in particular work which either presents new empirical knowledge about public management and/or developed theory -encourage questioning both of the legitimacy and hegemony of the ’new public management’ paradigm and its alternatives, and of the developing pluralism in public management which encompasses the governance of inter-sectoral relationships between government, non-profit and for-profit organisations in the provision of public services. The remit of Public Management Review is to promote the dissemination and discussion of such research about public management. Its specific target audience is the academic and research community. Public Management Review is an international journal, seeking to draw together and learn lessons from the development of public management across the world rather than being parochially focused upon one area and encourages cross-national and comparative research papers. The journal promotes inter-disciplinary work. Much of the most important work about public management is coming at the cusp of traditional disciplines. Public Management Review promotes such cross-boundary learning and conceptualisation.
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