Local histories and local sensemaking: a case of policy implementation in the English National Health Service
研究了英国国家卫生服务中地方如何根据自身历史解读和实施中央政策，发现组织变革未必改变地方行动者的意义建构方式。
Central policies that are only loosely specified might be expected to result in local variations in interpretation and implementation, and practice-based commissioning in the English National Health Service (NHS) is no exception. We show how local ‘sensemaking’ in relation to this policy has been influenced by local histories and by conceptual schemata derived from earlier reorganisations of the NHS. Changes to organisational formalities do not necessarily, therefore, result in reappraisals of sensemaking on the part of local actors. We also employ our data to address issues raised by commentators critical of the way the concept of sensemaking has been previously employed.