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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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Social enterprise in health organisation and management: hybridity or homogeneity?


Document Information:
Title:Social enterprise in health organisation and management: hybridity or homogeneity?
Author(s):Ross Millar, (Health Services Management Centre, University of Birmingham, Birmingham, UK)
Citation:Ross Millar, (2012) "Social enterprise in health organisation and management: hybridity or homogeneity?", Journal of Health Organization and Management, Vol. 26 Iss: 2, pp.143 - 148
Keywords:England, Health and social care, Health care, Health organization and management, Hybridity, Isomorphism, National Health Service, Social enterprise
Article type:Viewpoint
DOI:10.1108/14777261211230817 (Permanent URL)
Publisher:Emerald Group Publishing Limited
Abstract:

Purpose – The purpose of this paper is to reflect on social enterprise as an organisational form in health organisation and management.

Design/methodology/approach – The paper presents a critique of the underlying assumptions associated with social enterprise in the context of English health and social care.

Findings – The rise of social enterprise models of service provision reflects increasingly hybrid organisational forms and functions entering the health and social care market. Whilst at one level this hybridity increases the diversity of service providers promoting innovative and responsive services, the paper argues that further inspection of the assumptions associated with social enterprise reveal an organisational form that is symbolic of isomorphic processes pushing healthcare organisations toward greater levels of homogeneity, based on market-based standardisation and practices. Social enterprise forms part of isomorphic processes moving healthcare organisation and management towards market “norms”.

Originality/value – In line with the aim of the “New Perspectives section”, the paper aims to present a provocative perspective about developments in health and social care, as a spur to further debate and research in this area.



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