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Type: Journal article
Title: How do managerial techniques evolve over time? The distortion of 'facilitation' in healthcare service improvement
Author: Kislov, R.
Humphreys, J.
Harvey, G.
Citation: Public Management Review, 2017; 19(8):1165-1183
Publisher: Taylor & Francis
Issue Date: 2017
ISSN: 1471-9037
Statement of
Roman Kislov, John Humphreys and Gill Harvey
Abstract: 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.
Keywords: Facilitation; service improvement; context; distortion; healthcare
Rights: © 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
DOI: 10.1080/14719037.2016.1266022
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Appears in Collections:Aurora harvest 3
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