Evidence map›Paper›PMID 19679735›Full record

ArticleJournal of the Royal Society of Medicine2009

From cultural cohesion to rules and competition: the trajectory of senior management culture in English NHS hospitals, 2001-2008.

Russell Mannion, Stephen Harrison, Rowena Jacobs, Frederick Konteh, Kieran Walshe, Huw T O Davies

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of the Royal Society of Medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Russell MannionCentre for Health and Public Services Management, University of York, UK. rm15@york.ac.uk
Stephen Harrison
Rowena Jacobs
Frederick Konteh
Kieran Walshe
Huw T O Davies
University of York · GBUniversity of Manchester · GBUniversity of Dundee · GB

Funding

Department of Health
6 · The paper itself

Abstract

objectivesTo assess changes in senior management culture in English NHS hospitals between 2001 and 2008.

designLongitudinal study comprising cross-sectional surveys of board levels managers at three time-points using a validated culture measurement instrument - the Competing Values Framework.

settingEnglish NHS hospital trusts. MAIN OUTCOMES: There has been a decline in 'Clan' and an increase in more competitive 'Rational' cultures among senior management teams in NHS hospital trusts during the period 2001-2008.

conclusionsGovernment policy for the NHS has espoused the desirability of competition, particularly since 2002. Our data suggest that corresponding changes in the cultures of senior management teams in NHS hospital trusts is beginning to occur, with the expectation that these organizations will pursue more competitive strategies.

Indexed as

Organizational CultureHospitals, PublicLongitudinal StudiesPractice Management, MedicalState Medicine

Identifiers

PMID19679735
PMCPMC2726810
OpenAlexW2112440818

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.