THE DIFFUSION OF AN ORGANISATIONAL INNOVATION: ADOPTING 'PATIENT-FOCUSED CARE' IN AN N.H.S. HOSPITAL TRUST

Authors: HOWORTH, CHRIS¹; MUELLER, FRANK²; HARVEY, CHARLES³

Source: Competition & Change, Volume 6, Number 2, June 2002 , pp. 213-232(20)

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Abstract:

This paper deals with the diffusion and adoption of an organisational innovation, 'Patient Focused Care', at a British Hospital Trust. We will be discussing how PFC emerged in the U.S. context, was propagated by policy-makers, and judged worth adopting by organisational decision-makers. In providing an analysis of the case, we are attempting to bridge the gap between the policy context on the one hand, the organisational context on the other hand. The paper shows the importance of the 'local' context in shaping the adoption of a 'global' organisational innovation. The 'appropriation process' will play out in context-specific ways in terms of conflicts between managers and expert professionals; the way the 'foreignness' of the innovation plays out; and the way public policy-makers can influence the appropriation process. Most importantly, the paper intends to show how the cognitive boundaries of the N.H.S. as an 'organisational field' are beginning to move beyond national borders.

Keywords: Isomorphism; Organisational innovation; National Health Service; International diffusion of innovation; New institutionalism; Organisational field

Document Type: Research Article

DOI: http://dx.doi.org/10.1080/10245290213674

Affiliations: 1: School of Management, Royal Holloway, University of London, Egham, Surrey, TW20 0EX, UK 2: Department of Management, University of Leicester, Leicester, LE1 7RH, UK 3: Bristol Business School, University of the West of England, Bristol, BS16 1QY, UK

Publication date: 2002-06-01

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