Session Summary

Session Number:158
Session ID:S40
Session Title:Change and Development in Health Care : a Multi-level, Multi-stakeholder Analysis
Short Title:Sick of Change? Not likely!!
Session Type:Theme Session
Hotel:Swiss
Floor:LL3
Room:Gball I
Time:Monday, August 09, 1999 10:40 AM - 12:00 PM

Sponsors

AA  (Peter Smith Ring)pring@popmail.lmu.edu 310-338-7411 

General People

Chair Fitzgerald, Louise F. City U., UK L.Fitzgerald@city.ac.uk (217) 244-8320 
Presenter Ferlie, Ewan  Imperial College of Science, Technology and Medicine e.ferlie@ic.ac.uk (44) 0171 594 9130 
Presenter Powell, Michael  U. of Auckland m.powell@auckland.ac.nz 649 3737 7599 
Presenter Casebeer, Ann  U. of Calgary alcasebe@ucalgary.ca (403) 220 6924 
Presenter Shortell, Stephen M. U. of California, Berkeley shortell@uclink4.berkeley.edu (510)-643-5346 
Presenter Langley, Ann  U. of Quebec, Montreal langley.ann@uqam.ca (514) 987 3000 X4862 
Discussant Barnett, Pauline  U. of Otago pbarnett@chmeds.ac.nz (643) 364 0997 
Discussant Denis, Jean-Louis  U. de Montréal jean-louis.denis@umontreal.ca (514)-343-6031 
Discussant Hawkins, Chris  U. of Warwick ccscch@wbs.warwick.ac.uk (44) 01203 528487 
Discussant Roger, Gibbins  U. of Calgary rgibbins@cwf.ca (403) 264 9535 
Discussant Hill, Carey  Canada West Foundation chill@cwf.ca (403) 264 9535 
Discussant Lamothe , Lise  U. Laval lise.lamothe@mng.ulaval.ca (418) 656 2131 
Discussant Perkins, Rod  U. of Auckland r.perkins@auckland.nz (649) 373 7599 
Discussant Valette, Annick  U. of Grenoble Annick.Valette@upmf-grenoble.fr (33) 438 120542 

Submissions

Abstract

This symposium focusses on core conceptual issues in our understanding of complex organisational changes, using data from one sector to illustrate the arguments. The symposium explores the effective implementation of changes which involve intensive interactions between tiers and between stakeholders with differing perspectives. A wide range of examples are employed from current research in the health care sectors in four different countries. This sector is an especially illuminating example, because of the fundamental changes occurring across contexts; the complexity of the services provided and the widespread professionalisation of staff. Contributors will focus on differing interplays between tiers. The inputs will range from an examination of change processes instigated by government and their impact on institutions and provide comparative examples of similar state-led programmes. At another level of analysis, contributors will focus on the interactions between institutions and groups within the instituions. Here, our illustrations include exploration of cultural changes on physician group practice and attempts at co-ordination between hospitals. At the micro level, contributors analyse the processes of innovation diffusion on individual behaviour.