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Quality improvement for all seasons: Administrative doctrines after New Public Management.
- Source :
- Financial Accountability & Management; Feb2020, Vol. 36 Issue 1, p90-107, 18p, 2 Diagrams, 1 Chart, 1 Graph
- Publication Year :
- 2020
-
Abstract
- This paper systematically analyzes the discourse of quality in public policies and reforms of the U.K. National Health Service (NHS) between 1983 and 2013. It identifies a subtle and cumulative but highly significant movement in which "quality" is transformed from a vague and largely undefined promise related to the pursuit and extension of New Public Management (NPM) doctrines into a set of catch‐all and seemingly apolitical norms for contemplating and undertaking reform. This finding contributes to debates about whether and to what extent NPM is "dead," "comatose," "very much alive," and so forth, showing that quality simultaneously displaces NPM as the source of catch‐all administrative norms, and also reinvigorates and embeds them within and as part of medical professionalism though with new points of emphasis and twists. Pointing to generalizable mechanisms underlying this transformation, this paper highlights a growing international quality improvement movement as offering a new and consequential set of reform doctrines, to borrow Hood's terms, "for all seasons." [ABSTRACT FROM AUTHOR]
- Subjects :
- NEW public management
DOGMA
NATIONAL health services
GOVERNMENT policy
Subjects
Details
- Language :
- English
- ISSN :
- 02674424
- Volume :
- 36
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Financial Accountability & Management
- Publication Type :
- Academic Journal
- Accession number :
- 141095514
- Full Text :
- https://doi.org/10.1111/faam.12226