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Cultural change and perpetuation in organisations: evidence from an English emergency ambulance service

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Abstract

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.

Acceptance Date Oct 2, 2017
Publication Date Oct 2, 2017
Journal Public Management Review
Print ISSN 1471-9037
Publisher Routledge
Pages 923-948
DOI https://doi.org/10.1080/14719037.2017.1382278
Keywords Ambulance services, organisational culture, cultural perpetuation, performance measurement, change
Publisher URL https://doi.org/10.1080/14719037.2017.1382278

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