• Social science & medicine · Feb 2012

    A new mode of organizing in health care? Governmentality and managed networks in cancer services in England.

    • Ewan Ferlie, Gerry McGivern, and Louise Fitzgerald.
    • Department of Management, Kings College London, 150, Stamford street, London, England SE1 9NH, UK. ewan.ferlie@kcl.ac.uk
    • Soc Sci Med. 2012 Feb 1;74(3):340-7.

    AbstractWe explore the argument that a new mode of health care organizing is emerging which moves beyond the established professional dominance versus New Public Management (NPM) debate. We review Foucault's work on 'governmentality', as applied to health care organizations. We specify two specific Foucauldian themes (the power/knowledge nexus in Evidence Based Medicine (EBM); and the technologies of the clinical managerial self) to analyse organizing in the English cancer services field. We introduce two qualitative case studies of Managed Cancer Networks. We suggest their governance can be fruitfully seen through a 'governmentality' lens. We consider implications for developing Foucauldian analysis of health care organizations.Copyright © 2011 Elsevier Ltd. All rights reserved.

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