The Translation of Hospital Management Models in European Health Systems: A Framework for Comparison
基于制度理论,比较英格兰、丹麦、意大利和法国四个卫生系统对约翰·霍普金斯医院管理模式的差异化翻译,揭示制度背景如何影响全球管理模板的本土化。
In this paper we develop a framework for comparing changes in the management of public hospitals across different national health systems, drawing on insights from institutional theory. Using a range of secondary sources we show how one particular form of hospital management, pioneered originally at the Johns Hopkins Hospital in Baltimore, has been translated differently in four health systems: E ngland, D enmark, I taly and F rance. This analysis builds on the notion of editing rules, which derive from the institutional context, and illustrates how these rules broaden our understanding of variable translations of global templates for hospital management. The paper concludes by highlighting wider implications for theory and policy.