Ewan Ferlie
Dados Biográficos
| ID | 334119 |
|---|---|
| NOME | Ewan Ferlie |
| PRENOMES | Ewan |
| SOBRENOME | Ferlie |
| ASSINATURA | FERLIE E |
| AFILIAÇÕES | King's College London |
| ORCID | 0000-0003-2947-5141 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 64 |
| TOTAL DE CITAÇÕES | 584 |
| TOTAL COMO AUTOR | 61 |
| TOTAL COMO EDITOR | 3 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1981 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 14 |
The contested nature of New Public Governance as a third governance model
Exploring the diversity and spread of adult social care innovations in England
This paper examines the diversity and spread of adult social care (ASC) innovations in England. Drawing on public sector and social innovation traditions to analyse a database of 128 innovations, we present empirical evidence about the heterogeneous nature of ASC innovation, highlighting the importance of interorganizational relationships. We interrogate features and patterns of spread, arguing they are shaped by a sustained and strong New Public…
Constructing promissory futures to defer moral scrutiny
How can actors use the future to politically navigate moral disputes today? This article examines how projected futures are constructed and mobilised to suspend present-day moral dilemmas. Utilising the Economies of Worth and Barbara Adam’s sociology of time, we discursively analyse the moral dilemma between civic virtues and financial savings in UK healthcare austerity (2010–2018). This reveals how the pro-austerity government avoided moral scru…
This is just a little flu
This paper explores the concept of medical populism to examine how Brazil has responded to the Covid-19 pandemic. Recognising the centrality of discourses in framing health policy, we employ Critical Discourse Analysis (CDA) to identify and analyse (1) what were the main discursive frames that characterised medical populism in Brazil’s Covid-19 crisis? and (2) how were these frames constructed, legitimated and reproduced in discursive meanings, s…
Organizing for co-production
As scholars and practitioners increasingly focus on co-production, they raise questions about its sustainability.Consequently, research has turned towards understanding what enables and hinders co-production within organizations, including a focus on leaders.Building on this work, we argue for a broader focus on how wider leadership can impact co-production.We examine this through six case sites and identify the importance of leadership cultures …
Governance modes, mayoral leadership and transitions to public sector co-creation across Europe
Increasing interest in ‘co-creation’ raises an intriguing question about the role that political leaders can play. This role may have changed as wider models of public governance have evolved from Traditional Public Administration and New Public Management to more collaborative and networked approaches. With growing recognition that local solutions to complex public policy problems are needed, the role of mayors as important political leaders has…
Les discours de l'État sur la réforme de l'administration publique
Cet article analyse des discours de réformes en santé et en services sociaux dans l'administration publique à partir de trois documents de politiques britanniques récents. L'étude décèle la ténacité des discours de la « nouvelle gestion publique », de la « gouvernance par réseaux » et de la « gouvernance de l'ère numérique ». Pendant ce temps, les discours de reprofessionnalisation semblent faibles et contradictoires. Le texte démontre la puissan…
Section Overview
The Europe section of the handbook provides an overview of welfare system changes in Europe till early 2020. The European region is of strong interest globally as a number of European countries were early pioneers in developing the modern welfare state after the model was introduced in Germany and the United Kingdom. Moreover, the European Union has played a vital role in shaping the administrative space for social policy in and beyond the region…
Adopting management philosophies
Management gurus are increasingly prominent in public organizations. However, research generally evaluates guru ideas as primarily pragmatic suggestions, neglecting gurus’ value-laden ‘philosophies’. Particularly in pluralistic public organizations, we suggest that this normative content may significantly shape whether, why, and how such ideas are used. To interrogate this, we investigate a guru idea’s adoption by an English hospital using the Ec…
Understanding professional stratification and hybridisation in the medical profession
This paper explores drivers, implications, and trends of professional stratification and hybridisation in the medical profession employed in Brazilian substituir por: federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions of the migration of university hospitals to EBSERH, a public company established by the federal government to manage and organise HUFs integrated into the Unified Health System (SUS).…
Macro level factors influencing strategic responses to emergent pandemics
BACKGROUND: Strategic planning is critical for successful pandemic management. This study aimed to identify and review the scope and analytic depth of situation analyses conducted to understand their utility, and capture the documented macro-level factors impacting pandemic management. METHODS: To synthesise this disparate body of literature, we adopted a two-step search and review process. A systematic search of the literature was conducted to i…
Macro level influences on strategic responses to the Covid-19 pandemic – an international survey and tool for national assessments
BACKGROUND: Variation in the approaches taken to contain the SARS-CoV-2 (COVID-19) pandemic at country level has been shaped by economic and political considerations, technical capacity, and assumptions about public behaviours. To address the limited application of learning from previous pandemics, this study aimed to analyse perceived facilitators and inhibitors during the pandemic and to inform the development of an assessment tool for pandemic…
Concluding discussion
The articles in this special issue add to a rapidly developing literature on co-creation in public services management. This final article focuses what might otherwise be a wide ranging discussion by addressing core themes proposed in the special issue’s introduction. We consider: basic definitions of co-production and co-creation; the claim of a possible move from lower order co-production to higher level co-creation; the link with different mod…
A theoretical framework for studying the co-creation of innovative solutions and public value
The expansion of the scope and significance of co-creation in public policy and governance prompts the integration of different theoretical strands that together can help us illuminating the antecedent conditions, the processes of multi-actor collaboration, the creation of innovative solutions, and the assessment of their public value. Exploring the affinities and complementarities of relevant perspectives such as theories of co-creation, public …
Strategic management as an enabler of co-creation in public services
The current transformations in society, the economy and the public sector call for the development of more unified theoretical frameworks. This article takes the literature on strategic management as a theoretical entry angle and aims to better understand how the adoption of models of strategic management can enable processes of public value co-creation. Utilising the literature centred on the notion of ‘schools of thought’ in the strategic manag…
Strategic Management in Public Organizations
Our core argument is that the entrepreneurial school of thought in strategic management as conceptualized by Mintzberg and colleagues holds explanatory value for advancing knowledge about the behavior of public sector organizations, as it does for private firms, albeit with important qualifications when applied to public services: chiefly, the temporal limitation in post for the office-holder of a public organization. After describing our methods…
Biopolitics, space and hospital reconfiguration
Major service change in healthcare - whereby the distribution of services is reconfigured at a local or regional level - is often a contested, political and poorly understood set of processes. This paper contributes to the theoretical understanding of major service change by demonstrating the utility of interpreting health service reconfiguration as a biopolitical intervention. Such an approach orients the analytical focus towards an exploration …
Strategic Management in Public Services Organizations
This chapter first provides an overview of the academic field of strategic management and highlights some schools with strong relevance to public agencies as well as private firms. These schools include: the learning school; the resource-based view (RBV) and the strategy as practice tradition. Porterian models may also be applicable in marketised New Public Management (NPM) systems. We also consider whether these schools can be applied to Europea…
Explaining the Policy Process Underpinning Public Sector Reform
This article provides theoretical elaboration of the policy process underpinning the emergence of public sector reform. It reviews the three predominant models for understanding, namely the Advocacy Coalition Framework (ACF), Institutional Theory Approaches (ITA), and the Multiple Streams Framework (MSF). Rather than treating these frameworks as competing, the article identifies their complementary and interdependent contributions to explaining t…
The European public sectors in the age of managerialism
During the past 50 years, European public sectors have undergone a profound process of organizational change, where managerial tools and principles from the private sector have permeated through governments and administrations of many countries. A substantial amount of academic literature has now been devoted to public management reforms. Many scholars have associated them with the diffusion of a managerialist ideology. However, the relationship …
The Oxford Handbook of Health Care Management
The Handbook provides an authoritative overview of current issues and debates in the field of health care management. It contains over twenty chapters from well known and eminent academic authors internationally who were carefully selected for their expertise and asked to provide a broad and critical overview of developments in their particular topic area. The development of an international perspective and body of knowledge is a key feature of t…
Oxford Handbook of Health Care Management
This Handbook provides an authoritative overview of current issues and debates in the field of health care management. It contains over twenty chapters from well-known and eminent academic authors, who were carefully selected for their expertise and asked to provide a broad and critical overview of developments in their particular topic area. The development of an international perspective and body of knowledge is a key feature of the book.The Ha…
Knowledge leadership
This article explores contrasting forms of ‘knowledge leadership’ in mobilizing management research into organizational practice. Drawing on a Foucauldian perspective on power–knowledge, we introduce three axes of power–knowledge relations, through which we analyse knowledge leadership practices. We present empirical case study data focused on ‘polar cases’ of managers engaged in mobilizing management research in six research-intensive organizati…
Understanding Hybridity in Public Organizations
This article explores and extends the concept of hybridity to understand current changes in public services organizations, notably as seen from an organizational studies perspective. The notion of hybridity has become more important, given that the public sector increasingly blurs with other sectors and more social actors. Previous reliance on the use of ideal‐types in characterizing public services reforms has masked expanding heterogeneity. We …
The Political Economy of Management Knowledge
Have generic management texts and associated knowledges now extensively diffused into public services organizations? If so, why? Our empirical study of English healthcare organizations detects an extensive presence of such texts. We argue that their ready diffusion relates to two macro‐level forces: (i) the influence of the underlying political economy of public services reform and (ii) a strongly developed business school/management consulting k…
Hybrid Manager–professionals' Identity Work
We examine the ‘identity work’ of manager–professional ‘hybrids’, specifically medical professionals in managerial roles in the British National Health Service, to maintain and hybridize their professional identity and wider professionalism in organizational and policy contexts affected by managerialist ideas. Empirically, we differentiate between ‘incidental hybrids’, who represent and protect traditional institutionalized professionalism while …
Understanding Hybridity in Public Organizations
This article explores and extends the concept of hybridity to understand current changes in public services organizations, notably as seen from an organizational studies perspective. The notion of hybridity has become more important, given that the public sector increasingly blurs with other sectors and more social actors. Previous reliance on the use of ideal‐types in characterizing public services reforms has masked expanding heterogeneity. We …
Public Policy Networks and ‘Wicked Problems’
The last two decades have seen a shift in public services organizations from hierarchies to networks. Network forms are seen as particularly suited to handling ‘wicked problems'. We make an assessment of the nature and impact of this shift. Using recent evidence from the United Kingdom (UK) National Health Service (NHS), we explore the nature and functioning of eight different public policy networks. We are also interested in whether there has be…
Achieving clinical behaviour change
A theoretical framework for studying the co-creation of innovative solutions and public value
The expansion of the scope and significance of co-creation in public policy and governance prompts the integration of different theoretical strands that together can help us illuminating the antecedent conditions, the processes of multi-actor collaboration, the creation of innovative solutions, and the assessment of their public value. Exploring the affinities and complementarities of relevant perspectives such as theories of co-creation, public …
Interlocking Interactions, the Diffusion of Innovations in Health Care
This article aims to provide a reassessment of the processes of diffusion of innovations into organizations, based on new empirical data. The focus of the article is the latter stages of the diffusion process. The article draws on the results of two studies, which examined the diffusion of innovations in health care in the UK. These projects were a matched pair of qualitative studies, using purposeful selections of comparative case studies. The r…
Nobody in charge
This article illustrates how distributed change agency can implement complex organizational changes in the absence of formal management plans, roles, and structures. Distributed change agency typically involves small teams and senior groups. In this qualitative study of service improvements in the treatment of prostate cancer at an acute hospital, Grange, change roles were distributed more widely, with responsibilities `migrating' among a large i…
Playing tick-box games
We here examine the introduction of appraisal for senior medical professionals. Our recent qualitative field research found four main experiences of appraisal (developmental, disappointed reflection, defensive assessment and cynical dismissal of appraisal as a waste of time), which we developed into a typology. We argue many professionals `play tick-box games' to give the impression of auditable practice while continuing to practise in a traditio…
Professionals
This article examines empirical evidence on the impact of the introduction of a quasi-market in healthcare in the UK on professionals, especially doctors. Data are drawn from two longitudinal studies occurring between 1990 and 1994, of aspects of the changes to the health system. Data collection involved a range of methods, including observation, interviews, questionnaires and archival material. The findings show that a unilateral analysis of the…
A new mode of organizing in health care? Governmentality and managed networks in cancer services in England
Bringing Anglo-Governmentality into Public Management Scholarship
The field of public administration and management exhibits a limited number of favored themes and theories, including influential New Public Management and Network Governance accounts of contemporary government. Can additional social science–based perspectives enrich its theoretical base, in particular, analyzing a long-term shift to indirect governance evident in the field? We suggest that a variant of Foucauldian analysis is helpful, namely “An…
Contracting in Theory and in Practice
The contract is the main mechanism for governing transactions within public sector‘quasi markets’. This article explores the nature of the contracting process in the light of new empirical data from a qualitative study of the development of contracting for hiv / aids services within the National Health Service. These data are compared with four possible models of the contracting process emerging from the academic literature, classical, relational…
Strategic management as an enabler of co-creation in public services
The current transformations in society, the economy and the public sector call for the development of more unified theoretical frameworks. This article takes the literature on strategic management as a theoretical entry angle and aims to better understand how the adoption of models of strategic management can enable processes of public value co-creation. Utilising the literature centred on the notion of ‘schools of thought’ in the strategic manag…
Evidence-Based Medicine and the Implementation Gap
Evidence-based medicine was one of the earliest manifestations of evidence-based policy and practice, and has exercised substantial influence on other policy areas. Based on data from seven empirical studies carried out between 1993 and 1999, this article examines the origins and impact of EBM, and the complexities of implementation which have emerged. Policy makers and EBM enthusiasts alike have frequently taken a somewhat simplistic view of the…
The Creation and Evolution of Quasi Markets in the Public Sector
The paper seeks to develop a more behavioural understanding of new style ‘quasi markets’ in the public sector. Theoretically, the paper critiques transaction cost based approaches and argues that the ‘new economic sociology’ can be fruitfully applied in these settings. Case study evidence is presented from the National Health Service (NHS). The evidence suggests that the internal market in health care should be seen as relational and as socially …
Concluding discussion
The articles in this special issue add to a rapidly developing literature on co-creation in public services management. This final article focuses what might otherwise be a wide ranging discussion by addressing core themes proposed in the special issue’s introduction. We consider: basic definitions of co-production and co-creation; the claim of a possible move from lower order co-production to higher level co-creation; the link with different mod…
The Political Economy of Management Knowledge
Have generic management texts and associated knowledges now extensively diffused into public services organizations? If so, why? Our empirical study of English healthcare organizations detects an extensive presence of such texts. We argue that their ready diffusion relates to two macro‐level forces: (i) the influence of the underlying political economy of public services reform and (ii) a strongly developed business school/management consulting k…
Using complexity theory to analyse the organisational response to resurgent tuberculosis across London
Efficiency Promoting Innovation in Social Care
Like all output-producing organisations, social services departments must be concerned with efficiency, this concern being redoubled in the new era of budgetary retrenchment. In these circumstances, the fostering of innovations which will contribute to greater efficiency becomes crucial. In an attempt to analyse this process, we first of all list various ‘signs’ which indicate the presence of greater efficiency and then produce ‘scores’ for autho…
Understanding Change in the NHS
This paper presents a novel and distinctive approach to the study of change within the NHS. Central to the paper's approach is the view that research on change in health care systems should be processual, comparative, pluralist, and historically based. Guiding such a view is a meta‐analytical framework which contends that theoretically sound and practically useful research on change should involve the continuous interplay between ideas about the …
Retrenchment and Rationality in the Personal Social Services
One of the most important aspects of the development of public policy during the 1970s was the extent to which instruments of public sector planning and resource allocation both proliferated and became more sophisticated. The history of this period is littered with the emergence of acronyms (such as HIPs, JASP and RAWP) reflecting the progress that was made, particularly in the field of social planning. The successful implementation of many of th…
Renewing Policy to Support Evidence‐based Health Care
Health systems internationally have developed policies to support evidence‐based health care (EBHC) for over a decade. As this article shows, the time is ripe to review current policy frameworks in an evidence‐based manner. We summarize key themes deriving from qualitative research on the UK EBHC implementation and draw out implications for policy renewal. Our diagnosis is different from current UK NHS (National Health Service) policy since we st…
The appropriation of new organizational forms within networks of practice
In this article, we address the question of how organizational practices are diffused within networks of practice. We do so by drawing on the results of an ethnographic study of the diffusion of a complex mental health care treatment modality — the Democratic Therapeutic Community — that involved the attempted spread of novel work practices within a professional network of psychiatrists and their associated multi-disciplinar y teams at two new cl…
Biopolitics, space and hospital reconfiguration
Major service change in healthcare - whereby the distribution of services is reconfigured at a local or regional level - is often a contested, political and poorly understood set of processes. This paper contributes to the theoretical understanding of major service change by demonstrating the utility of interpreting health service reconfiguration as a biopolitical intervention. Such an approach orients the analytical focus towards an exploration …
Corporate Governance and the Public Sector
The 1990s have been marked by a resurgence of interest in questions of corporate governance in both public and private sector settings. The 1990 reorganization of the NHS is taken as an example of a recent attempt to‘reform’arrangements for corporate governance in the public sector based on a board of directors’model. The policy background is reviewed and the salient features of the NHS reorganization outlined. Empirical case study evidence is ad…
Retrenchment and Rationality in the Personal Social Services
One of the most important aspects of the development of public policy during the 1970s was the extent to which instruments of public sector planning and resource allocation both proliferated and became more sophisticated. The history of this period is littered with the emergence of acronyms (such as HIPs, JASP and RAWP) reflecting the progress that was made, particularly in the field of social planning. The successful implementation of many of th…
Efficiency Promoting Innovation in Social Care
Like all output-producing organisations, social services departments must be concerned with efficiency, this concern being redoubled in the new era of budgetary retrenchment. In these circumstances, the fostering of innovations which will contribute to greater efficiency becomes crucial. In an attempt to analyse this process, we first of all list various ‘signs’ which indicate the presence of greater efficiency and then produce ‘scores’ for autho…
Models of innovation in the social care of the elderly∗
1984). Models of innovation in the social care of the elderly. Local Government Studies: Vol. 10, No. 6, pp. 67-82
Patterns of Efficiency Improving Innovation
Literature relating to territorial variations in the pattern of service development is well established. Less emphasis has been placed on accounting for variations in the determinants of innovation through time. 1980 and 1982 data sets are compared with special emphasis on the changing role of financial variables. There appears to have been a switch from distress to growth-led innovation, at least in domiciliary care. Wider implications for polic…
Professional Collaboration in Services for Mentally Handicapped People
There has been growing academic and practitioner interest in the problems of and opportunities for joint working in the care of mentally handicapped people. The paper outlines alternative methods of such joint working and tests these against survey and case study evidence. Attention is drawn to the danger that joint working may have little impact at patient level and the paper recommends an emphasis on the appointment of frontline key workers
Understanding Change in the NHS
This paper presents a novel and distinctive approach to the study of change within the NHS. Central to the paper's approach is the view that research on change in health care systems should be processual, comparative, pluralist, and historically based. Guiding such a view is a meta‐analytical framework which contends that theoretically sound and practically useful research on change should involve the continuous interplay between ideas about the …
The Myth of Generic Practice
There has been continuing debate ever since the reorganisation of social services following the Seebohm Report as to the most appropriate mode of organising field social work. At different times various models have been proposed with more or less enthusiasm, some of which expect fieldwork caseloads to be of a generic kind and others which demand a greater degree of specialisation. This paper examines the extent of specialisation in social work ba…
Coping With Change in the NHS
The core of this paper is a case study of how a District Health Authority (Paddington and North Kensington, now Parkside DHA following a recent merger with Brent DHA) in Inner London responded to a major new health care issue of the 1980s—Aids, but the paper also seeks to locate this case study material within wider debates. What theories are there of organisational change which could be used to illuminate policy and service change in the health …
The Creation and Evolution of Quasi Markets in the Public Sector
The paper seeks to develop a more behavioural understanding of new style ‘quasi markets’ in the public sector. Theoretically, the paper critiques transaction cost based approaches and argues that the ‘new economic sociology’ can be fruitfully applied in these settings. Case study evidence is presented from the National Health Service (NHS). The evidence suggests that the internal market in health care should be seen as relational and as socially …
Corporate Governance and the Public Sector
The 1990s have been marked by a resurgence of interest in questions of corporate governance in both public and private sector settings. The 1990 reorganization of the NHS is taken as an example of a recent attempt to‘reform’arrangements for corporate governance in the public sector based on a board of directors’model. The policy background is reviewed and the salient features of the NHS reorganization outlined. Empirical case study evidence is ad…
The New Public Management in Action
This book analyses changes which have occurred in the organization and management of the UK public services over the last 15 years, particularly drawing on rich primary data from restructured NHS settings. The book argues that real change has occurred at the top of these organizations and that novel organizational 'hybrids' may be emerging.
Contracting in Theory and in Practice
The contract is the main mechanism for governing transactions within public sector‘quasi markets’. This article explores the nature of the contracting process in the light of new empirical data from a qualitative study of the development of contracting for hiv / aids services within the National Health Service. These data are compared with four possible models of the contracting process emerging from the academic literature, classical, relational…
Achieving clinical behaviour change
Professionals
This article examines empirical evidence on the impact of the introduction of a quasi-market in healthcare in the UK on professionals, especially doctors. Data are drawn from two longitudinal studies occurring between 1990 and 1994, of aspects of the changes to the health system. Data collection involved a range of methods, including observation, interviews, questionnaires and archival material. The findings show that a unilateral analysis of the…
Improving the Quality of Health Care in the United Kingdom and the United States
Fueled by public incidents and growing evidence of deficiencies in care, concern over the quality and outcomes of care has increased in both the United Kingdom and the United States. Both countries have launched a number of initiatives to deal with these issues. These initiatives are unlikely to achieve their objectives without explicit consideration of the multilevel approach to change that includes the individual, group/team, organization, and …
Interlocking Interactions, the Diffusion of Innovations in Health Care
This article aims to provide a reassessment of the processes of diffusion of innovations into organizations, based on new empirical data. The focus of the article is the latter stages of the diffusion process. The article draws on the results of two studies, which examined the diffusion of innovations in health care in the UK. These projects were a matched pair of qualitative studies, using purposeful selections of comparative case studies. The r…
On Building the New Managerialist State
D. Saint‐Martin (2000). Building The New Managerialist State, Denis Saint‐Martin
Innovation in healthcare
The objectives of the present paper are to describe selected findings from a research project on the diffusion and adoption of innovations in primary-care settings. The project design was a comparative case study design exploring four innovations in different settings. The findings are used to explore the influence of evidence on clinical behaviour, particularly how clinical professionals judge credible evidence and take decisions. The article go…
Analysing process in healthcare
English There has been a growing demand for analysis of healthcare process as it has become increasingly recognised that patients, professionals and managers tend to value aspects of process as much as healthcare outcomes. The articles in this special section of Policy & Politics aim to consider the methodological and theoretical challenges involved in exploring the questions addressed in process analysis and process evaluation. This introductory…
Evidence-Based Medicine and the Implementation Gap
Evidence-based medicine was one of the earliest manifestations of evidence-based policy and practice, and has exercised substantial influence on other policy areas. Based on data from seven empirical studies carried out between 1993 and 1999, this article examines the origins and impact of EBM, and the complexities of implementation which have emerged. Policy makers and EBM enthusiasts alike have frequently taken a somewhat simplistic view of the…
The Oxford handbook of public management
Quasi Strategy
The Oxford Handbook Of Public Management
The appropriation of new organizational forms within networks of practice
In this article, we address the question of how organizational practices are diffused within networks of practice. We do so by drawing on the results of an ethnographic study of the diffusion of a complex mental health care treatment modality — the Democratic Therapeutic Community — that involved the attempted spread of novel work practices within a professional network of psychiatrists and their associated multi-disciplinar y teams at two new cl…
Nobody in charge
This article illustrates how distributed change agency can implement complex organizational changes in the absence of formal management plans, roles, and structures. Distributed change agency typically involves small teams and senior groups. In this qualitative study of service improvements in the treatment of prostate cancer at an acute hospital, Grange, change roles were distributed more widely, with responsibilities `migrating' among a large i…
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