Understanding institutional conversion: the case of the National Reporting and Learning System

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Title: Understanding institutional conversion: the case of the National Reporting and Learning System
Authors: Dodds, Anneliese
Kodate, Naonori
Permanent link: http://hdl.handle.net/10197/4918
Date: Aug-2012
Online since: 2013-11-12T09:47:25Z
Abstract: This article focuses on one type of institutional change: conversion. One innovative approach to institutional change, the “political-coalitional approach”, acknowledges that: institutions can have unintended effects, which may privilege certain groups over others; institutions are often created and sustained through compromise with external actors; and institutions’ external context can vary significantly over time, as different coalitions’ power waxes and wanes. This approach helps explain the conversion of one institution drawn from the UK National Health Service, the National Reporting and Learning System. However, the shift of this system from producing formative information to facilitate learning to promote safer care, towards producing summative information to support resource allocation decisions, cannot be explained merely by examining the actions of external power coalitions. An internal focus, which considers factors that are normally viewed as “organisational” (such as leadership and internal stability), is also required.
Type of material: Journal Article
Publisher: Cambridge University Press
Journal: Journal of Public Policy
Volume: 32
Issue: 2
Start page: 117
End page: 139
Copyright (published version): 2012, Cambridge University Press
Keywords: HealthcareRegulationPatient Safety
DOI: 10.1017/S0143814X12000037
Language: en
Status of Item: Peer reviewed
Appears in Collections:Social Policy, Social Work and Social Justice Research Collection

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