2013 saw the National Health Service (NHS) in England severely criticized for providing poor quality despite successive governments in the previous 15 years, establishing a range of new institutions to improve NHS quality. This study seeks to understand the contributions of political and organizational influences in enabling the NHS to deliver high-quality care through exploring the experiences...

The growing popularity of stakeholder analysis reflects an increasing recognition of how the characteristics of stakeholders--individuals, groups and organizations--influence decision-making processes. This paper reviews the origins and uses of stakeholder analysis, as described in the policy, health care management and development literature. Its roots are in the political and policy sciences,...

BACKGROUND Funding for research is under pressure to be accountable in terms of benefits and translation of research findings into practice and policy. Primary health care research has considerable potential to improve health care in a wide range of settings, but little is known about the extent to which these impacts actually occur. This study examines the impact of individual primary health c...

That public policy affects organizational behaviors is well accepted, but less explored is how these effects may depend on other external environmental factors. We investigated policy as a necessary, but not sufficient, condition for understanding the growth of commercial banking in the United States, 1896–1978. We highlight a trade-off for banks between centralized and dispersed growth strateg...

The nature of the employment relationship is changing fundamentally. Organizations and employees have to find ways to respond to the new realities in the workplace such, that work continues to provide meaning and organizational success. Organizational cynicism is a somewhat controversial issue; frequently brings confusion, irritation, among those who fail to acknowledge cynicism as something th...

The zoo community seeks improved relevance to society by contributing to restoration of biological diversity, but faces special challenges to meeting this admirable policy goal. We examine zoos’ effectiveness in endangered species restoration, public education, and policy and operations. We suggest that the zoo community can improve its performance in a complex context by better clarifying its ...

Organizations such as hospitals and banks that collect and use personal information are required tocomply with privacy regulations like the Health Insurance Portability and Accountability Act (HIPAA)and the Gramm-Leach-Bliley Act (GLBA). With the goal of specification and enforcement of such prac-tical policies, we develop the logic PrivacyLFP, whose syntax is an extension of the fi...

a salient organizational phenomenon in the Chinese bureaucracy is collusion among local governments in response to policies and directives from higher authorities; local governments often form alliances to compromise the original intention behind state policies. There are thus significant and persistent deviations and goal displacement in policy implementation. This article develops an organiza...