12 research outputs found
The Diffusion of an Organisational Innovation: Adopting 'Patient-Focused Care' in an N.H.S. Hospital Trust
This paper deals with the diffusion and adoption of an organisational innovation, âPatient-Focused Careâ, at a British Hospital Trust. We will be discussing how PFC emerged in the U.S. context, was propagated by policy makers, and judged worth adopting by organisational decision-makers. In providing an analysis of the case, we are attempting to bridge the gap between the policy context on the one hand [and], the organisational context on the other hand. The paper shows the importance of the âlocalâ context in shaping the adoption of a âglobalâ organisational innovation. The âappropriation processâ will play out in context-specific ways in terms of conflicts between managers and expert professionals; the way the âforeignnessâ of the innovation plays out; and the way public policy-makers can influence the appropriation process. Most importantly, the paper intends to show how the cognitive boundaries of the N.H.S. as an âorganisational fieldâ are beginning to move beyond national borders