Millar Ross, Dickinson Helen
University of Birmingham.
J Health Organ Manag. 2016;30(1):117-32. doi: 10.1108/JHOM-11-2013-0242.
The purpose of the paper is to examine the metaphors used by senior managers and clinicians in the delivery of healthcare reform.
DESIGN/METHODOLOGY/APPROACH: A study of healthcare reform in England carried out a series of semi structured interviews with senior managers and clinicians leading primary and secondary care organisations. Qualitative data analysis examines instances where metaphorical language is used to communicate how particular policy reforms are experienced and the implications these reforms have for organisational contexts.
The findings show how metaphorical language is used to explain the interactions between policy reform and organisational contexts. Metaphors are used to illustrate both the challenges and opportunities associated with the reform proposals for organisational change.
ORIGINALITY/VALUE: The authors provide the first systematic study of patterns and meanings of metaphors within English healthcare contexts and beyond. The authors argue that these metaphors provide important examples of "generative" dialogue in their illustration of the opportunities associated with reform. Conversely, these metaphors also provide examples of "degenerative" dialogue in their illustration of a demarcation between the reform policy proposals and existing organisational contexts.
本文旨在研究高级管理人员和临床医生在医疗改革实施过程中所使用的隐喻。
设计/方法/途径：一项关于英国医疗改革的研究对领导初级和二级医疗机构的高级管理人员和临床医生进行了一系列半结构化访谈。定性数据分析考察了使用隐喻性语言来传达特定政策改革的体验方式以及这些改革对组织环境的影响的实例。
研究结果展示了隐喻性语言如何用于解释政策改革与组织环境之间的相互作用。隐喻被用来阐明与组织变革的改革提议相关的挑战和机遇。
原创性/价值：作者首次对英国及其他地区医疗环境中隐喻的模式和意义进行了系统研究。作者认为，这些隐喻在说明与改革相关的机遇时提供了“建设性”对话的重要例证。相反，这些隐喻在说明改革政策提议与现有组织环境之间的界限时也提供了“破坏性”对话的例证。
