Assembling Health Care Organizations: Practice, Materiality and Institutions PDF
Preview Assembling Health Care Organizations: Practice, Materiality and Institutions
p Assembling Health Care Organizations Practice, Materiality and Institutions Kajsa Lindberg, Alexander Styhre and Lars Walter Assembling Health Care Organizations This page intentionally left blank Assembling Health Care Organizations Practice, Materiality and Institutions Kajsa Lindberg, Alexander Styhre and Lars Walter UniversityofGothenburg,Gothenburg,Sweden ©KajsaLindberg,AlexanderStyhreandLarsWalter2012 Softcover reprint of the hardcover 1st edition 2012 978-0-230-30350-8 Allrightsreserved.Noreproduction,copyortransmissionofthis publicationmaybemadewithoutwrittenpermission. Noportionofthispublicationmaybereproduced,copiedortransmitted savewithwrittenpermissionorinaccordancewiththeprovisionsofthe Copyright,DesignsandPatentsAct1988,orunderthetermsofanylicence permittinglimitedcopyingissuedbytheCopyrightLicensingAgency, SaffronHouse,6–10KirbyStreet,LondonEC1N8TS. Anypersonwhodoesanyunauthorizedactinrelationtothispublication maybeliabletocriminalprosecutionandcivilclaimsfordamages. Theauthorshaveassertedtheirrightstobeidentifiedastheauthorsofthis workinaccordancewiththeCopyright,DesignsandPatentsAct1988. Firstpublished2012by PALGRAVEMACMILLAN PalgraveMacmillanintheUKisanimprintofMacmillanPublishersLimited, registeredinEngland,companynumber785998,ofHoundmills,Basingstoke, HampshireRG216XS. PalgraveMacmillanintheUSisadivisionofStMartin’sPressLLC, 175FifthAvenue,NewYork,NY10010. PalgraveMacmillanistheglobalacademicimprintoftheabovecompanies andhascompaniesandrepresentativesthroughouttheworld. Palgrave®andMacmillan®areregisteredtrademarksintheUnitedStates, theUnitedKingdom,Europeandothercountries. ISBN 978-1-349-33815-3 ISBN 978-1-137-02464-0 (eBook) DOI 10.1057/9781137024640 Thisbookisprintedonpapersuitableforrecyclingandmadefromfully managedandsustainedforestsources.Logging,pulpingandmanufacturing processesareexpectedtoconformtotheenvironmentalregulationsofthe countryoforigin. AcataloguerecordforthisbookisavailablefromtheBritishLibrary. AcatalogrecordforthisbookisavailablefromtheLibraryofCongress. 10 9 8 7 6 5 4 3 2 1 21 20 19 18 17 16 15 14 13 12 Contents ListofFigures vi Preface vii Part I TheoreticalPerspectives 1 Introduction:OrganizingHealthCareWorkinLate Modernity 3 2 OrganizingHealthCareWork:Co-AligningInstitutionsand Materiality 23 3 OrganizationStudiesofHealthCareWork:AnOverview andLookattheFuture 51 Part II HealthCarePractices 4 CoordinatingCarePaths:ThePatientasaBoundaryObject 75 5 Standardizing:TheIntroductionofEvidence-Based MethodsintoDrugAbuseTreatment 99 6 CrossingandConstructingBoundaries:ACaseof anInfusionPump 119 7 EngagingMaterialResources:NursingWorkinLeukaemia Care 134 Part III BridgingInstitutionsandMaterialityin HealthCare 8 AssemblingHealthCareWork 153 Appendix:ResearchMethods 169 Notes 172 Bibliography 173 Index 190 v Figures 7.1 Actorsinvolvedinhealthcarework 144 vi Preface Of all industries and domains reported most frequently in organiza- tion theory and management studies journals, health care is possibly among the top candidates. Health care is a major economic activity in contemporary society and it concerns us all; sooner or later, we all end up in the waiting room hoping to get the best possible care to be able to get rid of our concerns. In addition, the health care sec- tor is labour-intensive and consumes a considerable share of the tax money in most European countries. Given these qualities and condi- tions,itisnowonderthathealthcarepracticeshavebecomethefocus in a seemingly endless series of studies. The literature on health care is massive (here we could report the conventional Google search find- ings to alarm the reader but we choose not to), and one may then wonder whether there is, after all, a need for yet another publication addressing health care work. What justifies this book, in our minds, is that it seeks to combine an institutional perspective on health care regulation and governance, addressing programmes such as ‘evidence- basedmedicine’and‘patient-centredcare’,andamaterialistperspective, wherein everyday organizing – as we learn from actor network theo- rists and students of science and technology – is constituted ‘from the bottom up’ rather than being derived from abstract beliefs and norms. At the same time, the mobilization of such resources is always located withininstitutionalsettings.Theviewpursuedinthisbookis,inother words, an attempt perhaps not to reconcile institutional perspectives and materialist epistemologies but to point at the fruitfulness of com- biningtheminempiricalwork.Havingsaidthat,wealsothinkthatthe combination of an integrated theoretical view of health care work and the reporting of first-hand data from four empirical settings motivates thispublication. The work reported in this volume is based on the contributions of variouspeopleandinstitutions. Kajsa wants to thank all the people she met during her field studies whohaveofferedtheirtimeandsharedtheirexperiencesandpractices withher.ShealsowantstothankhercolleaguesAnnaJohansson,Mikael Löfstöm, Ylva Muhlenbock and Ewa Wikström, who took part in the studyoftheSwedishdrugabusetreatmentpresentedinChapter5. vii viii Preface AlexanderwouldliketothankcolleaguesbothattheSchoolofBusi- ness,EconomicsandLawattheUniversityofGothenburg,Sweden,and elsewhereforvariouscontributions,bothsmallandlarge,overtheyears. LarswouldliketothanktheSwedishCouncilforWorkLifeandSocial Research for funding the research project ‘Temporary care – a study of theuseofcontingentemploymentandagencyworkwithintheSwedish healthcare sector’, which made it possible to carry out the research on which two of the empirical chapters presented in this book are based. He also wants to thank his two colleagues Ola Bergström and Torbjörn Stjernberg, who participated in the project with him and in a great numberofwayscontributedtothestudy. Finally, we would like to thank Virginia Thorp, senior commission- ing editor at Palgrave Macmillan, for commissioning the book and Paul Milner and Keri Dickens, editorial assistants, for helping us get everythinginplace. KajsaLindberg,AlexanderStyhreandLarsWalter Gothenburg,Sweden Part I Theoretical Perspectives
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