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Processing Institutional Change in Public Service Provision

Ingo Bode ()

Public Organization Review, 2013, vol. 13, issue 3, 323-339

Abstract: With the proliferation of New Public Management (NPM) worldwide, public service providing agencies are increasingly expected to operate in a business-like manner and exposed to ‘competing institutional logics’. Exploring the German hospital sector, this article shows that this is processed within two areas of collective action simultaneously: at enterprise-level and at the regulatory infrastructure of the organizational field. In both places, ‘institutional work’ takes place, albeit differently. With emerging tensions, trial-and-error strategies (deployed by individual hospitals) and mitigating (regulatory) measures engender a nervous cohabitation of the two logics, endangering potentially the sector’s public mission in the long term. Copyright Springer Science+Business Media New York 2013

Keywords: Hospitals; Public service provision; Germany; Institutional logics; NPM (search for similar items in EconPapers)
Date: 2013
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DOI: 10.1007/s11115-012-0201-z

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