In the last three decades, medical doctors have increasingly been exposed to management
control measures. This phenomenon has been reflected in a number of studies in various …

This paper examines leadership in practice, specifically the interaction of leaders and
followers, taking account of context (Spillane, JP (2006). Distributed Leadership. San …

This paper presents an ethnographic account of the implementation of Lean service
redesign methodologies in one UK NHS hospital operating department. It is suggested that …

The blurring of managerial and professional jurisdictions remains a significant area of
organizational research. This process is often described as involvingre-stratification', the …

Over the last thirty years, scholars of health care organizations have been searching for
concepts and images to illuminate their underlying, and shifting, modes of organizing …

This paper re‐visits and re‐appraises Freidson's restratification thesis. His thesis was
proposed in the mid‐1980s to counter the idea of de‐professionalisation, suggesting …

Distributed leadership is promoted as being well suited to public service organizations
because of their multiple goals, less pronounced managerial authority and presence of …

In this article, the authors examine the implementation of policy aimed to promote the role of
organizational networks and distributed leadership in the establishment and consolidation of …

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 …

English This article compares the impact of New Public Management (NPM) on the health
systems and especially hospitals of the UK, Germany and Italy. It asks how far recent policy …