Purpose: The purpose of this paper is to explore the way “hybrid” clinical managers in Kenyan public hospitals interpret and enact hybrid clinical managerial roles in complex healthcare settings affected by professional, managerial and practical norms. Design/methodology/approach: The...

<title/> There has been increased interest in the UK in network-based modes of organizing in the public services, as opposed to markets or hierarchies. One supposed advantage of the network form is a greater capacity for the transfer of evidence-based or ‘best’ practices across the network and...

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 (NPM) debate. We review Foucault’s work on ‘governmentality’, as applied to health care organizations. We specify two...

Purpose – The purpose of this paper is to explore general practitioners' (GPs') and psychiatrists' views and experiences of transparent forms of medical regulation in practice, as well as those of medical regulators and those representing patients and professionals. Design/methodology/approach...

NICE evidence and National Service Frameworks may be increasingly legitimate, according to our research on the implementation of evidence-based medicine within British cardiac services. However, different professional conceptions of evidence still limited its diffusion, implementation of...