Titre : | A new mode of organizing in health care ? Governmentality and managed networks in cancer services in England. (2012) |
Auteurs : | Ewan Ferlie ; FITZGERALD (Louise) : GBR. Manchester Business School. University of Manchester. Manchester. ; Gerry MCGIVERN ; Department of Management. Kings College London. London. GBR |
Type de document : | Article |
Dans : | Social science and medicine (vol. 74, n° 3, 2012) |
Pagination : | 340-347 |
Langues: | Anglais |
Mots-clés : | Cancer ; Soins ; Réseau ; Angleterre ; Organisation soins ; Organisation ; Etude cas ; Homme ; Grande Bretagne ; Europe |
Résumé : | [BDSP. Notice produite par INIST-CNRS ol9HHR0x. Diffusion soumise à autorisation]. 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. |