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Major, M., Conceição, A. & Clegg, S. (2018). When institutional entrepreneurship failed: the case of a responsibility centre in a Portuguese hospital. Accounting, Auditing and Accountability Journal. 31 (4), 1199-1229

M. J. Major et al.,  "When institutional entrepreneurship failed: the case of a responsibility centre in a Portuguese hospital", in Accounting, Auditing and Accountability Journal, vol. 31, no. 4, pp. 1199-1229, 2018

@article{major2018_1713600011421,
	author = "Major, M. and Conceição, A. and Clegg, S.",
	title = "When institutional entrepreneurship failed: the case of a responsibility centre in a Portuguese hospital",
	journal = "Accounting, Auditing and Accountability Journal",
	year = "2018",
	volume = "31",
	number = "4",
	doi = "10.1108/AAAJ-09-2016-2700",
	pages = "1199-1229",
	url = "https://www.emerald.com/insight/content/doi/10.1108/AAAJ-09-2016-2700/full/html"
}

TY  - JOUR
TI  - When institutional entrepreneurship failed: the case of a responsibility centre in a Portuguese hospital
T2  - Accounting, Auditing and Accountability Journal
VL  - 31
IS  - 4
AU  - Major, M.
AU  - Conceição, A.
AU  - Clegg, S.
PY  - 2018
SP  - 1199-1229
SN  - 0951-3574
DO  - 10.1108/AAAJ-09-2016-2700
UR  - https://www.emerald.com/insight/content/doi/10.1108/AAAJ-09-2016-2700/full/html
AB  - Purpose: The purpose of this paper is to demonstrate the role of power relations in initiating and blocking accounting change that involves increased “responsibilisation” and “incentivisation”, and to understand how institutional entrepreneurship is steered by power strategies. Design/methodology/approach: An in-depth case study was carried out between 2010 and 2015 in a cardiothoracic surgery service (CSS) where a responsibility centre was introduced. Findings: Introducing a responsibility centre within a CSS led to a change process, despite pressures for stability. The institutionalisation of change was conditioned by entrepreneurship that flowed through three circuits of power. Strategies were adapted according to changes in exogenous environmental contingencies and alterations in the actors’ relationships. Originality/value: The contributions of the paper are several: first, it demonstrates that the existing literature discussing the implementation of responsibility centres cannot be isolated from power issues; second, it expands understanding of the power dynamics and processes of institutional entrepreneurship when implementing accounting change; third, it shows how change introduced by exogenous political economic events structured organisational circuits of power and blocked the introduction of the change initiative.
ER  -