Cultural change and perpetuation in organisations: evidence from an English emergency ambulance service
通过分析英国一家急救信托组织的文化特征，探讨文化、绩效测量与组织变革之间的关系，揭示历史遗产、亚文化动态等因素如何阻碍强制变革，对医疗管理者和组织变革研究者有参考价值。
Transforming cultures rather than changing structures is a favourite prescription for reforming health care organisations. We explore the relationship between cultures, performance measures, and organisational change by analysing the cultural characteristics of an English ambulance trust to understand how organisational culture is perpetuated. Internal and external factors that impact on culture change programmes, such as historical legacy and sub-cultural dynamics, are identified. The role and identity of ambulance personnel, the conflict between professional culture and managerial objectives, and the role of performance measurement were found to be significant issues which promoted resistance to enforced change and impeded planned management action.