How do managerial techniques evolve over time? The distortion of “facilitation” in healthcare service improvement
通过英国知识动员项目的纵向案例，研究管理技术“促进”在医疗服务改进中随时间扭曲的过程，揭示不加批判的适应可能掩盖不可持续的改进结果。
When applied to solving real-world problems in the public sector, managerial techniques are likely to evolve over time in response to the context of their implementation. The temporal dynamics of this evolution and its underlying processes, however, remain under-researched. To address this gap, we present a qualitative longitudinal case study of a UK-based knowledge mobilization programme utilizing “facilitation” as a service improvement approach. We describe the processes underpinning the distortion of facilitation over time and argue that an uncritical and uncontrolled adaptation of managerial techniques may mask the unsustainable nature of the resulting improvement outcomes captured by conventional performance measurement.