Governing Mental Health Care: How Power Is Exerted in and Through a Quality Improvement Collaborative

Broer, Tineke; Nieboer, Anna P.; Bal, Roland

doi:10.1111/j.1467-9299.2011.01967.x

Cited by 8 publications

(4 citation statements)

References 33 publications

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“…In other words, adopting a pragmatic perspective of power involves limiting initial preconceptions of what power ought to look like in a certain situation and instead focuses on the how, such as exploring the taken-for-granted assumptions of social systems to understand strategic uses of power (Hardy & Clegg, 2002). Such a perspective has been applied in public administration research by focusing on the role and consequence that techniques of power have for governing a public program and for public managers governing themselves in relation to the program (Broer et al, 2012).…”

Section: Pragmatic Perspective Of Powermentioning

confidence: 99%

Rethinking Perspectives of Power in Collaborative Governance

Hafer¹,

Ran²,

Hossain³

2022

J. Public Nonprof Aff.

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Power is an important concept in understanding collaborative governance, however, the existing research is largely dominated by the functional and critical perspectives of power. Aided by a conceptual content analysis of power used in collaborative governance literature in the top public administration journals, we viewed power as a family resemblance concept that should be conceptualized through four perspectives: functional, critical, social construction, and pragmatic. We provide elaboration of each of these four perspectives and propose counterarguments to assumptions that have arisen due to the reliance on a functional or critical perspective of power. We conclude that viewing power as a family resemblance concept with at least four perspectives offers collaborative governance researchers the ability to adopt the best perspective that is the most useful for their analysis and most helpful for public administrators to understand power in their collaborative efforts.

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Section: Pragmatic Perspective Of Powermentioning

confidence: 99%

Rethinking Perspectives of Power in Collaborative Governance

Hafer¹,

Ran²,

Hossain³

2022

J. Public Nonprof Aff.

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“…Many report what contexts make Collaboratives succeed or fail. Collaboratives are reported in (at least) Australia, Canada (Rossiter et al, 2017), France (Anon, 2013), Mexico (Barceló et al, 2010), the Netherlands (Broer et al, 2012; Dückers et al, 2009), Norway, Peru, Russia, Sweden (Algurén et al, 2019), the United Kingdom, the United States and several African countries (Nembhard, 2012), making this starting-point internationally relevant. Following avoidable quality and safety failures at Mid-Staffordshire Hospital (The Mid Staffordshire NHS Foundation Trust Inquiry, 2010), the UK government mandated the NHS to establish, among other things, PSCs (Department of Health, 2014).…”

Section: ‘Context’ In Realist Evaluationmentioning

confidence: 99%

Categories of context in realist evaluation

et al. 2021

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Realist evaluation has become widespread partly because of its sensitivity to the influence of contexts on policy implementation. In many such evaluations, the range of contexts considered relevant nevertheless remains disparate and under-conceptualised. This article uses findings from a realist evaluation of English Patient Safety Collaboratives during 2015–2018 to develop a realist taxonomy of contexts, differentiating contexts according to how they affect the corresponding policy mechanism. By analysing the main context-mechanism-outcome configurations that made up the English Patient Safety Collaboratives, we derive a taxonomy of the contexts that affected implementation and outcomes. The categories of context were structural (network, hierarchy, market and organisational contexts); resource-based (actors, material, financial); motivational (receptivity, outcome headroom), and temporal (continuity, history and convergence). To the categories found in previous studies, this study adds the three temporal contexts.

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“…Commissioners generally try to control healthcare providers by using a combination of several methods in parallel [4]. We call each method of control a 'medium of power', because each embodies what Foucault [5] called a 'technology of power'.…”

Section: Health Care Commissioning As Governancementioning

confidence: 99%

How managed a market? Modes of commissioning in England and Germany

Sheaff

Chambers

Charles

et al. 2013

BMC Health Serv Res

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BackgroundIn quasi-markets governance over healthcare providers is mediated by commissioners. Different commissioners apply different combinations of six methods of control ('media of power') for exercising governance: managerial performance, negotiation, discursive control, incentives, competition and juridical control. This paper compares how English and German healthcare commissioners do so.MethodsSystematic comparison of observational national-level case studies in terms of six media of power, using data from multiple sources.ResultsThe comparison exposes and contrasts two basic generic modes of commissioning:1. Surrogate planning (English NHS), in which a negotiated order involving micro-commissioning, provider competition, financial incentives and penalties are the dominant media of commissioner power over providers.2. Case-mix commissioning (Germany), in which managerial performance, an 'episode based' negotiated order and juridical controls appear the dominant media of commissioner power.ConclusionsGovernments do not necessarily maximise commissioners' power over providers by implementing as many media of power as possible because these media interact, some complementing and others inhibiting each other. In particular, patient choice of provider inhibits commissioners' use of provider competition as a means of control.

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Governing Mental Health Care: How Power Is Exerted in and Through a Quality Improvement Collaborative

Cited by 8 publications

References 33 publications

Rethinking Perspectives of Power in Collaborative Governance

Rethinking Perspectives of Power in Collaborative Governance

Categories of context in realist evaluation

How managed a market? Modes of commissioning in England and Germany

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