Rhetorics of Efficiency, Fashion and Politics
通过分析五起医院合并决策中的话语，研究效率、时尚和政治如何共同推动管理理念的采纳，揭示理性与制度论证如何相互交织并为政治策略提供合法性。
Drawing on a content analysis of discourse surrounding five sequential hospital merger decisions, this research examines the role of efficiency considerations, fashion and politics in stimulating the adoption of a managerial idea. The article analyses how different arguments come to be intertwined. It illustrates how rational and institutional arguments are used to legitimate political strategies while simultaneously constituting the apparatus of legitimation for others in a reciprocal process that contributes to the persistence of those same strategies. The article thus confirms the key role of politics, interests and agency in the evolution and constitution of institutions, and in the diffusion of managerial ideas.