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首页> 外文期刊>Journal of Public Policy >Understanding institutional conversion: the case of the National Reporting and Learning System
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Understanding institutional conversion: the case of the National Reporting and Learning System

机译：了解制度转变：国家报告和学习系统的情况

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摘要

This article focuses on one type of institutional change: conversion. One innovative approach to institutional change, the "political-coalitional approach", acknowledges that: institutions can have unintended effects, which may privilege certain groups over others; institutions are often created and sustained through compromise with external actors; and institutions' external context can vary significantly over time, as different coalitions' power waxes and wanes. This approach helps explain the conversion of one institution drawn from the UK National Health Service, the National Reporting and Learning System. However, the shift of this system from producing formative information to facilitate learning to promote safer care, towards producing summative information to support resource allocation decisions, cannot be explained merely by examining the actions of external power coalitions. An internal focus, which considers factors that are normally viewed as "organisational" (such as leadership and internal stability), is also required.
机译：本文关注的是一种制度变迁：转换。一种创新的制度变迁方法，即“政治-经济方法”，承认：制度可能产生意想不到的影响，这可能使某些群体优先于其他群体；制度往往是通过与外部参与者的妥协来建立和维持的；随着不同联盟的力量起伏不定，机构的外部环境会随着时间的流逝而发生显着变化。这种方法有助于解释从英国国家卫生局，国家报告和学习系统中提取的一个机构的转换。但是，仅通过检查外部电力联盟的行动就不能解释这种系统从生成形成性信息以促进学习以促进更安全的护理到生成汇总性信息以支持资源分配决策的转变。还需要进行内部关注，考虑通常被视为“组织”的因素（例如领导力和内部稳定性）。

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