Understanding institutional conversion:the case of the National Reporting and Learning System


This article focuses on one type of institutional change: conversion. One innovative approach to institutional change, the “political-coalitional approach”, acknowledges that: institutions can have unintended effects, which may privilege certain groups over others; institutions are often created and sustained through compromise with external actors; and institutions’ external context can vary significantly over time, as different coalitions’ power waxes and wanes. This approach helps explain the conversion of one institution drawn from the UK National Health Service, the National Reporting and Learning System. However, the shift of this system from producing formative information to facilitate learning to promote safer care, towards producing summative information to support resource allocation decisions, cannot be explained merely by examining the actions of external power coalitions. An internal focus, which considers factors that are normally viewed as “organisational” (such as leadership and internal stability), is also required.

Publication DOI: https://doi.org/10.1017/S0143814X12000037
Divisions: Languages & Social Sciences > Sociology and Policy
Languages & Social Sciences
Languages & Social Sciences > Aston Centre for Europe
Additional Information: Copyright © Cambridge University Press 2012
Uncontrolled Keywords: institutional change,institutional conversion,health care,patient safety,Public Administration,Management, Monitoring, Policy and Law
Full Text Link: https://researc ... Kodate_2012.pdf
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
http://journals ... ine&aid=8610423 (Publisher URL)
PURE Output Type: Article
Published Date: 2012-08
Authors: Dodds, Anneliese
Kodate, Naonori

Export / Share Citation


Additional statistics for this record