Conceptual foundations of organizational structure: re-structuring of women's health services.

Nugus, P; Travaglia, J; MacGinley, M; Colliver, D; Mazaniello-Chezol, M; Claudio, F; Lewis, LD

Conceptual foundations of organizational structure: re-structuring of women's health services.

Nugus, P Travaglia, J

MacGinley, M Colliver, D Mazaniello-Chezol, M Claudio, F Lewis, LD

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Publisher:: Emerald
Publication Type:: Journal Article
Citation:: J Health Organ Manag, 2021, ahead-of-print, (ahead-of-print)
Issue Date:: 2021-12-14

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Field	Value	Language
dc.contributor.author	Nugus, P
dc.contributor.author	Travaglia, J https://orcid.org/0000-0002-7537-0466
dc.contributor.author	MacGinley, M
dc.contributor.author	Colliver, D
dc.contributor.author	Mazaniello-Chezol, M
dc.contributor.author	Claudio, F
dc.contributor.author	Lewis, LD
dc.date.accessioned	2022-01-27T04:07:08Z
dc.date.available	2022-01-27T04:07:08Z
dc.date.issued	2021-12-14
dc.identifier.citation	J Health Organ Manag, 2021, ahead-of-print, (ahead-of-print)
dc.identifier.issn	1477-7266
dc.identifier.issn	1758-7247
dc.identifier.uri	http://hdl.handle.net/10453/153642
dc.description.abstract	PURPOSE: Researchers often debate health service structure. Understanding of the practical implications of this debate is often limited by researchers' neglect to integrate participants' views on structural options with discourses those views represent. As a case study, this paper aims to discern the extent to which and how conceptual underpinnings of stakeholder views on women's health contextualize different positions in the debate over the ideal structure of health services. DESIGN/METHODOLOGY/APPROACH: The researchers chose a self-standing, comprehensive women's health service facing the prospect of being dispersed into "mainstream" health services. The researchers gathered perspectives of 53 professional and consumer stakeholders in ten focus groups and seven semi-structured interviews, analyzed through inductive thematic analysis. FINDINGS: "Women's marginalization" was the core theme of the debate over structure. The authors found clear patterns between views on the function of women's health services, women's health needs, ideal client group, ideal health service structure and particular feminist discourses. The desire to re-organize services into separate mainstream units reflected a liberal feminist discourse, conceiving marginalization as explicit demonstration of its effects, such as domestic abuse. The desire to maintain a comprehensive women's health service variously reflected post-structural feminism's emphasis on plurality of identities, and a radical feminist discourse, holding that womanhood itself constituted a category of marginalization - that is, merely being at risk of unmet health needs. ORIGINALITY/VALUE: As a contribution to health organizational theory, the paper shows that the discernment of discursive underpinnings of particular stakeholder views can clarify options for the structure of health services.
dc.format	Print
dc.language	eng
dc.publisher	Emerald
dc.relation	http://purl.org/au-research/grants/arc/LP0775514
dc.relation.ispartof	J Health Organ Manag
dc.relation.isbasedon	10.1108/JHOM-09-2021-0364
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 15 Commerce, Management, Tourism and Services
dc.subject.classification	Health Policy & Services
dc.subject.mesh	Female
dc.subject.mesh	Focus Groups
dc.subject.mesh	Humans
dc.subject.mesh	Women's Health Services
dc.title	Conceptual foundations of organizational structure: re-structuring of women's health services.
dc.type	Journal Article
utslib.citation.volume	ahead-of-print
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	15 Commerce, Management, Tourism and Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
dc.date.updated	2022-01-27T04:07:07Z
pubs.issue	ahead-of-print
pubs.publication-status	Published
pubs.volume	ahead-of-print
utslib.citation.issue	ahead-of-print

Abstract:

PURPOSE: Researchers often debate health service structure. Understanding of the practical implications of this debate is often limited by researchers' neglect to integrate participants' views on structural options with discourses those views represent. As a case study, this paper aims to discern the extent to which and how conceptual underpinnings of stakeholder views on women's health contextualize different positions in the debate over the ideal structure of health services. DESIGN/METHODOLOGY/APPROACH: The researchers chose a self-standing, comprehensive women's health service facing the prospect of being dispersed into "mainstream" health services. The researchers gathered perspectives of 53 professional and consumer stakeholders in ten focus groups and seven semi-structured interviews, analyzed through inductive thematic analysis. FINDINGS: "Women's marginalization" was the core theme of the debate over structure. The authors found clear patterns between views on the function of women's health services, women's health needs, ideal client group, ideal health service structure and particular feminist discourses. The desire to re-organize services into separate mainstream units reflected a liberal feminist discourse, conceiving marginalization as explicit demonstration of its effects, such as domestic abuse. The desire to maintain a comprehensive women's health service variously reflected post-structural feminism's emphasis on plurality of identities, and a radical feminist discourse, holding that womanhood itself constituted a category of marginalization - that is, merely being at risk of unmet health needs. ORIGINALITY/VALUE: As a contribution to health organizational theory, the paper shows that the discernment of discursive underpinnings of particular stakeholder views can clarify options for the structure of health services.

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http://hdl.handle.net/10453/153642