Abstract

http://ssrn.com/abstract=2331463
 
 

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The Creation and Survival of an Academic Health Science Organization: Counter-Colonization Through a New Organizational Form?


Michael D. Fischer


University of Oxford - Said Business School

Ewan Ferlie


King's College London

Catherine French


University College London

Naomi Fulop


Department of Applied Health Research, UCL

Charles Wolfe


King's College London

September 25, 2013

University of Oxford - Said Business School Working Paper No. 2013-26

Abstract:     
This paper describes and analyses the creation and development of an Academic Health Science Centre (AHSC) as a major organizational innovation diffusing in the health knowledge economy, internationally. Drawing on an institutionalist model utilized in an earlier study of a failed merger in the USA (Kitchener, 2002), we explore empirically why the creation of this new AHSC in the UK produced very different organizational outcomes. Whereas institutionalist framing predicts 'sedimented' instability and repeated contest between managerialist and embedded (and ultimately, dominant) professional logics, the higher levels of clinical-academic engagement in our case exerted 'upwards' institutional pressure, creating a more stable, collaborative form. Our paper challenges and develops the institutionalist model, and explores the possibility of 'counter-colonization' through a new organizational form invented in the academic-clinical domain.

Number of Pages in PDF File: 35

Keywords: institutional theory, interorganizational networks, knowledge work, organizational change, organizational forms, professionals, academic health science

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Date posted: October 5, 2013 ; Last revised: July 2, 2014

Suggested Citation

Fischer, Michael D. and Ferlie, Ewan and French, Catherine and Fulop, Naomi and Wolfe, Charles, The Creation and Survival of an Academic Health Science Organization: Counter-Colonization Through a New Organizational Form? (September 25, 2013). University of Oxford - Said Business School Working Paper No. 2013-26. Available at SSRN: http://ssrn.com/abstract=2331463 or http://dx.doi.org/10.2139/ssrn.2331463

Contact Information

Michael D. Fischer (Contact Author)
University of Oxford - Said Business School ( email )
Park End Street
Oxford, OX1 1HP
Great Britain
HOME PAGE: http://www.sbs.oxford.edu
Ewan Ferlie
King's College London ( email )
London
United Kingdom
Catherine French
University College London ( email )
Gower Street
London, WC1E 6BT
United Kingdom
Naomi Fulop
Department of Applied Health Research, UCL ( email )
1-19 Torrington Place
London, WC1E 7HB
United Kingdom
+44 (0)20 3108 3267 (Phone)
HOME PAGE: http://iris.ucl.ac.uk/iris/browse/profile?upi=NJFUL94
Charles Wolfe
King's College London ( email )
Strand
London, UT England WC2R 2LS
United Kingdom
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