Case study 3

2018 ◽  
Author(s):  
Ewan Ferlie ◽  
Sue Dopson ◽  
Chris Bennett ◽  
Michael D. Fischer ◽  
Jean Ledger ◽  
...  
Keyword(s):  
Health Care ◽  
Public Services ◽  
Management Consulting ◽  
Organizational Redesign ◽  
Management Consultants ◽  
Management Knowledge ◽  
Problems And Solutions ◽  
Financial Interests ◽  
The Way

The chapter discusses management consultants and consulting knowledge in health care, highlighting significant expenditure on consultancy and how consultants have shaped thinking in public services, which some critics suggest has served consultants’ own (financial) interests. The chapter then discusses the way consultants mobilize management knowledge and frame clients’ problems and solutions. It discusses an empirical case study of a consultancy project to redesign NHS organizations to make substantial ‘efficiency savings’. Here, consultants framed the NHS’s problem and solution, and then imposed an organizational redesign. Local NHS managers and clinicians framed the NHS’s problem differently, doubting the consultants’ framing and proposing redesign, but feeling unable to engage in dialogue about these concerns. Consequently, they engaged with the project in a calculated and defensive way, superficially accepting the redesign while waiting for its implementation to fail. Thus, the chapter demonstrates framing politics surrounding management consulting knowledge.

Wayfinding in hospital landscape: syntactical analysis of planting design in hospitals in Kerman, Iran

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ali Zabihi ◽  
Mina Safizadeh ◽  
Massoomeh Hedayati Marzbali
Keyword(s):  
Health Care ◽  
Space Syntax ◽  
Content Type ◽  
Planting Design ◽  
Library Research ◽  
University College London ◽  
The University ◽  
Syntactical Analysis ◽  
The Way

Purpose Hospital landscape is not a useless space within hospital buildings anymore. It is considered as a supportive area providing mental and physical peace. However, the planting design of the hospital landscape and the way it should be in order to not disrupt wayfinding performance is neglected. This paper, which is a case study, aims at investigating the effects of planting design in Kerman hospitals’ landscapes on the users’ wayfinding using space syntax techniques. Design/methodology/approach This research focuses on the effects of planting design on the users’ wayfinding in hospitals. In so doing, library research, computer simulation and analysis with the University College London (UCL) Depthmap software, and comparison techniques are used. Based on axial maps, the measures of integration, connectivity and intelligibility are considered for analysing the wayfinding process of individuals. Findings The findings show that planting configurations in the hospital landscape can affect individuals’ wayfinding. Integrated and regular planting design in addition to combining planted areas with the hospital buildings can pave the way for intelligible space and easier wayfinding. Originality/value According to the authors’ knowledge, the current study is the first to use the space syntax techniques in the health-care landscape architecture in terms of planting design and wayfinding. As wayfinding is an important issue in health-care spaces, the study findings can greatly help the health-care building designers and the related organizations to pay attention to the hospital landscape as much as hospital indoors.

Case Study—Acting (and Funding) Locally: How One Virginia Foundation Is Changing the Way It Supports Communities

2019 ◽  
pp. 315-322
Author(s):  
Patricia N. Mathews
Keyword(s):  
Health Care ◽  
Low Income ◽  
Return On Investment ◽  
Safety Net ◽  
Health Care Safety Net ◽  
Health Care Safety ◽  
The Way

This chapter presents a case study based on the experience of the Northern Virginia Health Foundation (NVHF). The NVHF was created twelve years ago and was created to improve the health and health care of the residents of Northern Virginia, with a particular emphasis on those of low income and the uninsured. The chapter shows how despite being a small foundation, over the years, NVHF has made significant investments in the health care safety net. However, despite this, low-income residents in the area continue to face considerable challenges. The chapter makes some general conclusions based on this experience: cross-sector collaboration is difficult and, in many instances, expensive. But the return on investment is potentially strong. The direction should be creative and focused.

Rhythms of Care: Medical Travels beyond the Borders of Bangladesh

2020 ◽  
Vol 14 (1) ◽  
pp. 61-83
Author(s):  
Karen M. McNamara
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Tourism ◽  
Tourism Industry ◽  
Emotional Challenges ◽  
Detailed Case ◽  
Care Practices ◽  
The Way

Abstract This article examines the experiences of Bangladeshi patients and their families as they travel transnationally within Asia for medical care. I explain how failures of biomedicine in Bangladesh feed into idealized expectations of care abroad. This medical imaginary is fueled by the hope that more expensive treatment in wealthier countries will result in better care, and it is sustained by the way the medical tourism industry operates and the way Bangladeshi patients and their families make choices and engage in the doing of care abroad. A detailed case study of a Bangladeshi cancer patient’s prolonged care in Singapore illustrates the tensions and ambivalences in the quest for the best treatment. These tensions are exacerbated by the linguistic, monetary, and emotional challenges faced in traveling back and forth between countries. While patients feel at times betrayed by experiences of care that do not meet their expectations, they also feel compelled to carry on. I capture this dynamic in the term rhythms of care, understanding these as the way the medical imaginary shapes care practices that become a scaffolding for hope to be maintained and further travel to be undertaken. I also reflect on how I become part of these rhythms by acting as the family’s interpreter as they navigate health care in Singapore.

scholarly journals Management Consulting Intervention Case Study in a Complex and Toxic Hospital Organizational Culture

2020 ◽  
Vol 11 (2) ◽  
pp. 100-114
Author(s):  
Darrell Norman Burrell
Keyword(s):  
Organizational Culture ◽  
Change Management ◽  
Organizational Development ◽  
Talent Management ◽  
Behavioral Theory ◽  
Management Consulting ◽  
Healthcare Organizations ◽  
Management Consultants ◽  
Development Change

AbstractHealthcare organizations in turmoil often turn to management consultants to collect data, engage in analysis, evaluate processes, and make recommendations. This is a case study of an actual hospital with complex issues around organizational culture, organizational conflict, diversity, and talent management. The paper explores the intervention approaches used to address the toxic organizational cultural problems through the lens of organizational development, change management, and corporate behavioral theory.

The Politics of Management Knowledge in Times of Austerity

2018 ◽  
Author(s):  
Ewan Ferlie ◽  
Sue Dopson ◽  
Chris Bennett ◽  
Michael Fischer ◽  
Jean Ledger ◽  
...  
Keyword(s):  
Health Care ◽  
Political Economy ◽  
Public Services ◽  
Health Care Organizations ◽  
Macro Level ◽  
Evidence Based ◽  
Publicly Funded ◽  
Academic Literature ◽  
Management Knowledge ◽  
Based Medicine

While the implementation of evidence-based medicine guidelines is well studied, there has been little investigation into the extent to which a parallel evidence-based management movement has been influential within health care organizations. This book explores the various management knowledges and associated texts apparent in English health care organizations, and considers how the local reception of these texts was influenced by the macro level political economy of public services reform evident during the period of the politics of austerity. The research outlined in this volume shows that very few evidence-based management texts are apparent within health care organizations, despite the influence of certain knowledge producers, such as national agencies, think tanks, management consultancies, and business schools in the industry. Bringing together the often disconnected academic literature on management knowledge and public policy, the volume addresses the ways in which preferred management knowledges and texts in these publicly funded settings are sensitive to the macro level political economy of public services reform, offering an empirically grounded critique of the evidence-based management movement.

scholarly journals The Silent Politics of Temporal Work: A Case Study of a Management Consultancy Project to Redesign Public Health Care

2017 ◽  
Vol 39 (8) ◽  
pp. 1007-1030 ◽  
Author(s):  
Gerry McGivern ◽  
Sue Dopson ◽  
Ewan Ferlie ◽  
Michael Fischer ◽  
Louise Fitzgerald ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Boundary Objects ◽  
Public Health Care ◽  
Short Term ◽  
Management Consultancy ◽  
Time Frames ◽  
The Way

In this article, we discuss temporal work and temporal politics situated between groups with different temporal orientations, arguing that attention needs to be paid to covert and unarticulated silent politics during temporal work. Drawing on a case study of a management consultancy project to redesign public health care, we explain how unarticulated temporal interests and orientations shape the construction of problems, which, in turn, legitimate tasks and time frames. We also show how task and time frames are temporarily fixed and imposed through boundary objects, and the way these may then be reinterpreted and co-opted to deflect pressure to change. Thus, we argue, unarticulated, covert and political temporal inter-dynamics produce expedient provisional temporal settlements, which resolve conflict in the short term, while perpetuating it in the longer run.

scholarly journals Integration of health care in the Basque Country during COVID-19: the importance of an integrated care management approach in times of emergency

2021 ◽  
Vol 22 ◽  
Author(s):  
Julen Izagirre-Olaizola ◽  
Goizalde Hernando-Saratxaga ◽  
María-Soledad Aguirre-García
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Health Personnel ◽  
Public Health System ◽  
Basque Country ◽  
Integration Process ◽  
The Public ◽  
The Way

Abstract The main objective of this study is to analyse the process of integration of health care implemented in the public health system (Osakidetza) of the Autonomous Community of the Basque Country (CAPV), and assess whether the steps taken to date have helped or hindered the work of health personnel in times of COVID-19. Based on a case study, an assessment is made of the way in which certain tools of the integration process have been applied, if they have worked well and if they have led to better management of the pandemic. For the purpose of this study, a qualitative methodology is chosen consisting of a case study and in-depth interviews with health personnel at the front line of the integration process and the fight against COVID-19. This study makes two fundamental contributions. First, it analyses the health integration process in recent years in the public health system of the Basque Country. Second, it gathers the perceptions of different agents related to the Basque Health System of the way in which the tools of the integration process implemented in recent years have worked during the pandemic, detailing the positive and negative perceptions in this regard. Our conclusions offer a series of strategic recommendations linked to comprehensive patient care and the use of tools related to teleconsulting: the unified medical record, electronic prescription, and non-face-to-face care channels.

Development and regional planning within the decentralized administrative frame: case study (the Jordanian Experiment)

2018 ◽  
Vol 1 (2) ◽  
pp. 60-72
Author(s):  
Mansour Safran
Keyword(s):  
Regional Planning ◽  
The Other ◽  
Negative Effects ◽  
Administrative Procedures ◽  
The Way

This aims to review and analyze the Jordanian experiment in the developmental regional planning field within the decentralized managerial methods, which is considered one of the primary basic provisions for applying and success of this kind of planning. The study shoed that Jordan has passed important steps in the way for implanting the decentralized administration, but these steps are still not enough to established the effective and active regional planning. The study reveled that there are many problems facing the decentralized regional planning in Jordan, despite of the clear goals that this planning is trying to achieve. These problems have resulted from the existing relationship between the decentralized administration process’ dimensions from one side, and between its levels which ranged from weak to medium decentralization from the other side, In spite of the official trends aiming at applying more of the decentralized administrative policies, still high portion of these procedures are theoretical, did not yet find a way to reality. Because any progress or success at the level of applying the decentralized administrative policies doubtless means greater effectiveness and influence on the development regional planning in life of the residents in the kingdom’s different regions. So, it is important to go a head in applying more steps and decentralized administrative procedures, gradually and continuously to guarantee the control over any negative effects that might result from Appling this kind of systems.   © 2018 JASET, International Scholars and Researchers Association

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