By Henry Richardson, Paul Weithman
First released in 2000. Routledge is an imprint of Taylor & Francis, an informa corporation.
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Additional info for Development and Main Outlines of Rawls's Theory of Justice (Philosophy of Rawls, Volume 1)
Sample text
R Corporations increasingly own and manage health care delivery organizations. Institutional Logics r While the logic of health care quality is espoused, the logic of equal access has become much less salient. A significant proportion of the population lacks adequate health insurance. r Efficiency and cost-containment have become important new values and the use of market mechanisms and competitive pressures is the favored governance mechanism. Destabilizing Processes: Reactive Mobilization In the early years of the twenty-first century, we seem far from attaining stability in the health care field.
Social regulation pertains to governmental policies that “cut across industries,” affecting all workers, the environment, civil rights. ” SM theorists have focused their studies on movements aimed at influencing social regulatory policies; OS scholars have emphasized forces and factors affecting economic regulation. We view this distinction as congruent with our own but slightly narrower, since its exclusive concern is governmental policies. We, of course, attend to governmental policies, but also to the actions of what Selznick (1969) has termed “private governments”: organizations and associations that are empowered to exercise governance functions in specified arenas – for example, professional or trade associations.
Learning from the SM scholars, we are convinced that future approaches will benefit from embracing a process framework. Studies of structure need to be augmented by greater attention to structuration. Learning from OS scholars, we believe that the organizational field level represents a particularly promising vantage point from which to view organization change. If treated longitudinally, the field level is particularly hospitable to the study of dynamic systems. As the boundaries of single organizations (including movements) and organizational populations become more blurred and permeable, as new forms arise and as new linkages are forged between existing forms, a field-level conception becomes indispensable to tracing the complexities of contemporary changes.