 The Contestation of Archetypes: Negotiating Scripts in a UK Hospital Trust Board*Frank Mueller, Charles Harvey and Chris Howorth Journal of Management Studies, 2003, vol. 40, issue 8, 1971-1995 Abstract: abstract This paper deals with the aftermath of the creation of a new governance structure in the UK National Health Service. We conceptualize this new governance structure as a ‘Trust Hospital Archetype’ in order to establish the promises and limitations of an archetype transition framework. We find that the ‘reality’ of the ‘Trust Hospital Archetype’ is one involving a high degree of contestation. This is confirmed by evidence drawn from interviews, documents, observation and participant observation. In order to analyse contestation, we distinguish between three interpretive schemes – Ideological–New Public Management, Executive Pragmatism and Medical Professionalism; and we outline five scripts – challenging, critiquing, mediating, cautioning and defending. This diversity casts doubt on the usefulness of simplistic managerialism–professionalism dichotomies prevalent in much of the literature. It also suggests modifications to archetype transition theory, which lends too much weight to the role of dominant interpretive schemes. Date: 2003 Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:bla:jomstd:v:40:y:2003:i:8:p:1971-1995 Ordering information: This journal article can be ordered from Access Statistics for this article Journal of Management Studies is currently edited by Timothy Clark, Steven W. Floyd and Mike Wright More articles in Journal of Management Studies from Wiley Blackwell |
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