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.     

Reviews

John Miller, Mikhail Gorbachev and the End of Soviet Power. Basingstoke: Macmillan, 1993, xviii + 267 pp., £45.00 h/b, £13.99 p/b.

Geoffrey A. Hosking, Jonathan Aves & Peter J. S. Duncan, The Road to Post‐Communism. Independent Political Movements in the Soviet Union, 1985–1991. London and New York: Pinter Publishers, 1992 x + 236 pp., £37.50 h/b, £12.99 p/b.

Sheila Fitzpatrick, The Cultural Front: Power and Culture in Revolutionary Russia. Ithaca, NY: Cornell University Press, 1992, xx + 264 pp., $41.50 h/b, $13.95 p/b.

Ian Jeffries, Socialist Economies and the Transition to the Market: A Guide. London: Routledge, 1993. 562 pp., £70.00 h/b, £19.99 p/b.

William M. Reisinger, Energy and the Soviet Bloc: Alliance Politics after Stalin. Ithaca, NY and London: Cornell University Press, 1992, xiii + 184 pp., $37.95.

Joan DeBardeleben, ed., To Breathe Free: Eastern Europe's Environmental Crisis. Washington, DC: Woodrow Wilson Center Press, and Baltimore, MD: Johns Hopkins University Press, 1991, xviii + 266 pp., £25.00 h/b, £9.50 p/b.

Donald D. Barry, ed., Toward the ‘Rule of Law’ in Russia? Political and Legal Reform in the Transition Period. Armonk, NY and London: M. E. Sharpe, 1992, 402 pp., $90.00.

Anna Lawton, Kinoglasnost: Soviet Cinema in Our Time. Cambridge and New York: Cambridge University Press, 1992, xvi + 288 pp. £35.00 h/b, £13.95 p/b.

David Pike, The Politics of Culture In Soviet‐Occupied Germany 1945–1949. Stanford, CA: Stanford University Press, 1993, 691 pp., $ 55.00.

Alec Nove, ed., The Stalin Phenomenon. London: Weidenfield & Nicolson, 1993, 216 pp., £25.00 h/b.

M. B. Broxup, ed., The North Caucasus Barrier: The Russian Advance Towards the Muslim World. London: Hurst, 1992, xxvii + 252 pp., £27.50.     

Reviews

Herbert J. Ellison, (ed.), Soviet Policy Toward Western Europe, Seattle and London: University of Washington Press. 1983. xvii + 322 pp. £25.00.

Edwina Moreton and Gerald Segal, (eds.), Soviet Strategy Toward Western Europe, London: George Allen & Unwin. 1984. 296 pp. £17.50.

Lawrence L. Whetten (ed.), The Present State of Communist Internationalism, Lexington & Toronto: Lexington Books, 1983, xi + 254 pp. £25.00.

Neil Harding (ed.), The State in Socialist Society, London: MacMillan, 1984, 316 pp. h/b £20.00. p/b £7.95.

Stephen White, John Gardner and George Schopflin, Communist Political Systems: an Introduction, Macmillan, 1982, viii + 293 pp. £15.00.

John Erickson, The Road to Berlin. Volume 2 of Stalin's War with Germany, London: Weidenfeld and Nicolson, 1983. xiii + 877 pp. £20.00.

John B. Dunlop, The Faces of Contemporary Russian Nationalism, Princeton, N.J.: Princeton University Press, 1983, 363 pp. £28.20.

Aryeh L. Unger, Constitutional Development in the USSR. A Guide to the Soviet Constitutions, London: Methuen, 1981. viii + 310 pp. £12.50.

Stefan Hedlund, Crisis in Soviet Agriculture, London and Sydney: Croom Helm and New York: St. Martin's Press, 1984, 228 pp. £17.95.

Vladimir Sobell, The Red Market: Industrial Co‐operation and Specialisation in Comecon, Gower Publishing Company, 1984, 265 pp. £16.50.

Raymond Hutchings, The Structural Origins of Soviet Industrial Expansion, London and Basingstoke, Macmillan: 1984, x + 242 pp. Index, £25.00.

Peter Blandon, Soviet Forest Industries, Boulder, Colorado: Westview Press. Distributed by Bowker Publishing Co., Erasmus House, Epping, Essex, UK 290 pp. £19.75.

Ronald Grigor Suny, Transcaucasia: Nationalism and Social Change. Essays in the history of Armenia, Azerbaijan, and Georgia, University of Michigan: Ann Arbor, 1983, 349 pp. + xiv.

Sidney Bloch and Peter Reddaway, Soviet Psychiatric Abuse: The Shadow over World Psychiatry, London: Victor Gollancz Ltd. 1984, 288 pp. £10.95.

Thomas T. Hammond, Red Flag Over Afghanistan. The Communist Coup, the Soviet Invasion, and the Consequences, Boulder, Colorado; Westview Press, 1984, xvii + 261 pp. £9.75 pb., £23.00 hb.

Martin Crouch and Robert Porter (eds.), Understanding Soviet Politics through Literature. A book of readings, London: George Allen and Unwin, 1984, xi + 211 pp. h/b £15.00. p/b £6.95.

Bernard Chavance, Le système économique soviétique, Paris: Editions le Sycomore, 1983, 114pp. Price: 33F.

S. Brucan, The post‐Brezhnev era, New York: Praeger, 1983 126 pp. xiii + $21.95.