Artigo em revista científica Q1
Implementing an hospital accreditation programme in a context of NPM reforms: Pressures and conflicting logics
Ana Conceição (Conceição, A.); Célia Picoito (Picoito, C.); Maria Major (Major, M.);
Título Revista
Public Money and Management
Ano (publicação definitiva)
Reino Unido
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This article examines how an accreditation programme emerged and developed in a hospital in the context of New Public Management reforms. A case study demonstrates that healthcare organizations characterized as contested can self-transform into aligned ones. Accreditation programmes can provide the means to do this. Quality assurance practices and technical medical expertise coexisted as the initiative did not interfere with doctors’ independence and identity. Committed leadership was vital, particularly having a medical professional leading the project. As well, trust was an essential mechanism for effective collaboration between professionals, thus preventing resistance to change.
Collaboration,Health sector,Hospital accreditation,Institutional logics,Logics coexistance,New Public Management
  • Economia e Gestão - Ciências Sociais