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Post-New Public Management in Public Healthcare: Recycled, Hybridized, Paradigmatic?
Department of Technology Management and Economics/Centre for Healthcare Improvement, Chalmers University of Technology, Sweden.
Department of Technology Management and Economics/Centre for Healthcare Improvement, Chalmers University of Technology, Sweden.
University of Skövde, School of Business. University of Skövde, Enterprises for the Future. Department of Technology Management and Economics/Centre for Healthcare Improvement, Chalmers University of Technology, Sweden. (Followership and Organizational Resilience (FORE))ORCID iD: 0000-0002-1989-2745
University of Skövde, School of Business. University of Skövde, Enterprises for the Future. (Followership and Organizational Resilience (FORE))ORCID iD: 0000-0003-2476-4411
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2019 (English)Conference paper, Published paper (Refereed)
Abstract [en]

New Public Management (NPM) is increasingly used pejoratively and claimed unfit for the complex challenges in contemporary societies, for example aging population structures and, as a result, increased number of cancer patients. Consequently, post-NPM gains increased attention. Drawing from a longitudinal case in Swedish cancer care, the present article seeks to pinpoint post-NPM in public healthcare practice. It is revealed that some post-NPM aspects are recycled by combining traditional public administration (pre-NPM) and NPM aspects: the former’s re-professionalisation is combined with the latter’s foci on performance measures, decentralisation, and accountability. Other post-NPM aspects are hybridizing typical NPM aspects with new (post-NPM) aspects: for instance, customer-focus is taken further to include the patient’s active participation in co-designing services, and standardization is reinterpreted to concern meeting-places rather than efficiency. Yet other aspects are replacing NPM shortcomings: for instance, trust is replacing control, and a systems approach is replacing the intra-organisational focus.

Place, publisher, year, edition, pages
British Academy of Management , 2019. p. 1-23
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
URN: urn:nbn:se:his:diva-16921ISBN: 978-0-9956413-2-7 (electronic)OAI: oai:DiVA.org:his-16921DiVA, id: diva2:1318411
Conference
British Academy of Management (BAM) 2019 Conference, Aston University, Birmingham, September 3-5, 2019
Note

Paper Type: Full Papers

Available from: 2019-05-27 Created: 2019-05-27 Last updated: 2019-11-08Bibliographically approved

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FulltextPublic Management and Governance [conference track]Proceedings

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Andersson, ThomasGadolin, Christian

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CiteExportLink to record
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Citation style
  • apa
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Output format
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