Health Policy, Politics and Organisation (HiPPO) Research Group, University of Manchester, Manchester, UK.
J Health Organ Manag. 2013;27(1):4-23. doi: 10.1108/14777261311311771.
The language used by National Health Service (NHS) "commissioning" managers when discussing their roles and responsibilities can be seen as a manifestation of "identity work", defined as a process of identifying. This paper aims to offer a novel approach to analysing "identity work" by triangulation of multiple analytical methods, combining analysis of the content of text with analysis of its form.
DESIGN/METHODOLOGY/APPROACH: Fairclough's discourse analytic methodology is used as a framework. Following Fairclough, the authors use analytical methods associated with Halliday's systemic functional linguistics.
While analysis of the content of interviews provides some information about NHS Commissioners' perceptions of their roles and responsibilities, analysis of the form of discourse that they use provides a more detailed and nuanced view. Overall, the authors found that commissioning managers have a higher level of certainty about what commissioning is not rather than what commissioning is; GP managers have a high level of certainty of their identity as a GP rather than as a manager; and both GP managers and non-GP managers oscillate between multiple identities depending on the different situations they are in.
ORIGINALITY/VALUE: This paper offers a novel approach to triangulation, based not on the usual comparison of multiple data sources, but rather based on the application of multiple analytical methods to a single source of data. This paper also shows the latent uncertainty about the nature of commissioning enterprise in the English NHS.
英国国家医疗服务体系（NHS）“委托”经理在讨论其角色和职责时使用的语言可以被视为“身份工作”的表现，即确定身份的过程。本文旨在通过对多种分析方法的三角分析，提供一种分析“身份工作”的新方法，将文本内容的分析与形式的分析相结合。
设计/方法/途径：本文使用了 Fairclough 的话语分析方法作为框架。作者遵循 Fairclough 的方法，使用与 Halliday 的系统功能语言学相关的分析方法。
虽然对访谈内容的分析提供了有关 NHS 委托代理人对其角色和职责的看法的一些信息，但对他们使用的话语形式的分析提供了更详细和细致的观点。总体而言，作者发现委托经理对委托不是什么有更高的确定性，而不是对委托是什么有更高的确定性；GP 经理对自己作为 GP 而不是经理的身份有很高的确定性；GP 经理和非 GP 经理根据他们所处的不同情况在多种身份之间摇摆不定。
原创性/价值：本文提供了一种新的三角分析方法，不是基于通常对多个数据源的比较，而是基于对单个数据源应用多种分析方法。本文还展示了英国 NHS 中委托企业性质的潜在不确定性。
