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

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  • Ferlie, Ewan
  • Mcgivern, Gerry
  • FitzGerald, Louise

Abstract

We 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.

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  • Ferlie, Ewan & Mcgivern, Gerry & FitzGerald, Louise, 2012. "A new mode of organizing in health care? Governmentality and managed networks in cancer services in England," Social Science & Medicine, Elsevier, vol. 74(3), pages 340-347.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:3:p:340-347
    DOI: 10.1016/j.socscimed.2011.03.021
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    References listed on IDEAS

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    1. Waring, Justin J., 2009. "Constructing and re-constructing narratives of patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1722-1731, December.
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    Cited by:

    1. Walsh, Mike & Kittler, Markus G. & Mahal, Dawn, 2018. "Towards a new paradigm of healthcare: Addressing challenges to professional identities through Community Operational Research," European Journal of Operational Research, Elsevier, vol. 268(3), pages 1125-1133.
    2. Federica Segato & Cristina Masella, 2017. "Integrated care in action: opening the “black box” of implementation," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(1), pages 50-71, January.
    3. Marc Nikitin & Jean-Baptiste Capgras & Dragos Zelinschi, 2017. "Dynamiques de la gouvernementalité : concurrence et calcul des coûts dans le système de santé français," Post-Print hal-01907396, HAL.
    4. McGivern, Gerry & Nzinga, Jacinta & English, Mike, 2017. "‘Pastoral practices’ for quality improvement in a Kenyan clinical network," Social Science & Medicine, Elsevier, vol. 195(C), pages 115-122.
    5. Petrakaki, Dimitra & Hilberg, Eva & Waring, Justin, 2018. "Between empowerment and self-discipline: Governing patients' conduct through technological self-care," Social Science & Medicine, Elsevier, vol. 213(C), pages 146-153.
    6. Currie, Graeme & Dingwall, Robert & Kitchener, Martin & Waring, Justin, 2012. "Let’s dance: Organization studies, medical sociology and health policy," Social Science & Medicine, Elsevier, vol. 74(3), pages 273-280.
    7. Hedlund, M. & Landstad, B.J. & Tritter, J.Q., 2019. "The disciplining of self-help: Doing self-help the Norwegian way," Social Science & Medicine, Elsevier, vol. 225(C), pages 34-41.
    8. Martin, Graham P. & Leslie, Myles & Minion, Joel & Willars, Janet & Dixon-Woods, Mary, 2013. "Between surveillance and subjectification: Professionals and the governance of quality and patient safety in English hospitals," Social Science & Medicine, Elsevier, vol. 99(C), pages 80-88.
    9. Carter, Celina & Mohammed, Shan & Upshur, Ross & Kontos, Pia, 2021. "Biomedicalization of end-of-life conversations with medically frail older adults - Malleable and senescent bodies," Social Science & Medicine, Elsevier, vol. 291(C).

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