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Lean management and hybrid masculinization - a case study from Finnish healthcare

Timo Aho and Laura Mankki

Chapter 11 in Handbook on Gender and Public Sector Employment, 2023, pp 136-149 from Edward Elgar Publishing

Abstract: This chapter investigates the workings of hybrid masculinization in the arguments of lean experts making lean applicable to Finnish healthcare. Lean management originated in the Japanese car industry; since the 1990s it has become a key management doctrine for healthcare reform in Western welfare states. By drawing on an analysis of 11 interviews with lean management experts conducted from 2019 to 2020, the chapter shows that lean does not exclude either ‘masculine virtues’ of rationalization nor interpersonal practices associated with women and femininity but appropriates, modifies and re-contextualizes various forms of (stereotypical) gendered expressions, associations, styles, and practices to create a hybrid masculinization of lean. The chapter reveals that hybridization of lean healthcare is both a mechanism through which patriarchal relations may endure or re-emerge in new forms and a mechanism that (re)produces capitalist relations.

Keywords: Business and Management; Politics and Public Policy Sociology and Social Policy (search for similar items in EconPapers)
Date: 2023
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