Archetype Transition in the German Health Service? The Attempted Modernization of Hospitals in a North German State

In this paper, we argue that, rather than aiming at universal contingency relationships, archetype theory needs to go down a path where 'local variants' can be discovered and understood by relating them to their organizational and institutional context(s). The case study of a public sector hospital group in a North German state (Hamburg) is drawn on here to elaborate the argument. We found evidence for a change from a Public Sector hospital archetype to a Public Hospital Corporation archetype. Drawing on this model permits us to explore the impact of the introduction of new forms of public management organization and the implications the managerial ideology underpinning this may have for the professional organization. The study explores the consequences of the innovations for professional/managerial relations. We also suggest that the 'archetype' approach may be particularly useful for the comparative study of organizations. This is particularly pertinent given the different – corporatist – organization of the German health care system and its different approach to public sector reform to that of the Anglo-American and Scandinavian systems where the 'archetypal' approach has so far been applied.     

Classifying political regimes

This study presents a classification of political regimes as democracies and dictatorships for a set of 141 countries between 1950 or the year of independence and 1990. It improves existing classifications by a better grounding in political theory, an exclusive reliance on observables rather than on subjective judgements, an explicit distinction between systematic and random errors, and a more extensive coverage.