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Journal cover: Journal of Health Organization and Management

Journal of Health Organization and Management

ISSN: 1477-7266
Previously published as: Journal of Management in Medicine

Online from: 2003

Subject Area: Health Care Management/Healthcare

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Re-connecting histories: modernity, managerialism and development


Document Information:
Title:Re-connecting histories: modernity, managerialism and development
Author(s):Sadhvi Dar, (University of Cambridge, Cambridge, UK)
Citation:Sadhvi Dar, (2008) "Re-connecting histories: modernity, managerialism and development", Journal of Health Organization and Management, Vol. 22 Iss: 2, pp.93 - 110
Keywords:Critical management, Cross-functional integration, Health services sector, Management technique
Article type:Conceptual paper
DOI:10.1108/14777260810876286 (Permanent URL)
Publisher:Emerald Group Publishing Limited
Abstract:

Purpose – The aim of the paper is to connect the field of health management to other related academic discourses (critical management studies and critical development studies) that can contribute to a more interdisciplinary approach to understanding health organizations and management.

Design/methodology/approach – The paper's design is theoretical critique that blends post-structural, critical management and critical development approaches into a focused discussion of modernity and its relevance to contemporary health management issues.

Findings – Modernity proliferates through a variety of rhetorical tropes that go unnoticed or remain invisible. Through a brief analysis of historical definitions of management and development, the findings suggest that health management could also be critiqued as a cultural and social construction, enriching anthropological studies as well as informing practical critiques of health projects in the development sector.

Research limitations/implications – The conceptualisation of health-management as a cultural construct of modernity opens up the prospect for some rich empirical studies into what management practices support the scientific-rational claims on which it rests.

Practical implications – The critique informs a re-appraisal of health management practices that are often taken for granted and ritualistic parts of organizational life. Such a re-evaluation could lead to the implementation of more nuanced and appropriate health practices.

Originality/value – Connecting management and development discourses in this way has not been done before and its relevance to health management remains under-researched. This paper highlights the way these discourses can enrich the study of health organizations and create a truly interdisciplinary understanding of health.



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