Understanding institutional conversion: the case of the National Reporting and Learning System
|Title:||Understanding institutional conversion: the case of the National Reporting and Learning System||Authors:||Dodds, Anneliese
|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:||Healthcare; Regulation; Patient 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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