Identifying the need for Integration of managerialism and leaderism in managing health care organizations: introducing a new paradigm by a scoping review
,
Abstract
Abstract
Background: In the new century and in the era of post-modernist, managerialism and leaderism theories have replaced the words management and leadership for driving of new public management such as healthcare organizations. each of these two theories cannot be alone successful to managing these organizations. several authors believed the integration of these two discourses can effectively drive healthcare organizations. According to these considerations, the current research was aimed to develop an integrated model of managerialism and leaderism theories among healthcare organizations.
Method: This study was a scoping review, conducted from 2000-2024. The data in this study included English articles and documents using related keywords, searched alone and in combination with Boolean operators through six international databases, and google scholar for additional documents. After doing screening and selection process through the PRISMA flow diagram, finally 30 studies as total number selected for in-depth analysis.
Results: The results of several studies showed that managerialism and leaderism discourses could not developed health care organizations alone effectively. Therefore, some authors suggested the need to develop leaderism discourses toward managerialism as an integration and combining the strengths of these two theories for managing health care organizations.
Conclusion: The fusion of managerialism and leaderism discourses as a paradigm in health care organizations is, in fact, a new public management in the postmodernism era, arising from the converging strengths and the conversion of their own weaknesses and challenges into new opportunities.
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32. Machin D. The hybrid professional: an examination of how educational leaders relate to, with and through managerialism. British Journal of Sociology of Education. 2018;39(4):518-34.
33. Tsheola J, Nembambula P. Governance of the south african university under democracy and the triumphalism of managerialism over transformational leadership. Mediterranean Journal of Social Sciences. 2014;5(27):1655-66.
34. Tabrizi JS, Haghgoshayie E, Doshmangir L, Yousefi M. New public management in Iran's health complex: A management framework for primary health care system. Primary Health Care Research and Development. 2018;19(3):264-76.
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40. Bresnen M, Hyde P, Hodgson D, Bailey S, Hassard J. Leadership talk: From managerialism to leaderism in health care after the crash. Leadership 2015;11(4):451-70.
41. Reed M, Wallace M. Elite discourse and institutional innovation: Making the hybrid happen in English public services. Research in the Sociology of Organizations2015: 269-302, Doi: 10-1108/S0733-528220150000043022
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45. Chetty G, Louw T, editors. Managerialism or Collegialism? The evolution of these approaches and perceptions thereof in Higher Education in South Africa. 13rd Annual International Conference; 2012.
46. Shatil SH. Manageralism – a social order on the rise critical sociology 2020; 46(7-8):1-8, Doi: 10.1177/0896920520911703
47. Louw VN. From public administration to governance: science or odeology? Journal of Public Administration 2012;47(1):1-10
48. Van Vugt M, Van Rueden CH. From genes to minds to cultures: evolutionary approaches to leadership. The leadership Quanterly 2020:1-10, Doi: 10.1016/leaqua.2020.101404
49. Smeenk S, Teelken C, Eisinga R, Doorewaard H. Managerialism, organizational commitment, and quality of job performances among european university employees. Research in Higher Education 2009;50(6):589-607.
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58. Lynch K. New manageralism : the impact on education conceot2014:5(3):1-11
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63. Dargahi H, Ketabchi Khonsari MH. -Explanation of the Competency model in Selection of Clinical Laboratories’ Managers: A Scoping systematic Review. Laboratory and Diagnosis. 2024;15(62):49-59.
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66. Biglar M, Dargahi H, Ghorbani Z, Garshasbi S. Investigating the impact of empowerment training courses on human resources productivity among Tehran University of Medical Sciences employees. Journal of Hospital. 2020;19(3):67-82.
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2. Klikauer T. what is manageralism? Critical Society 2013: 41(7-8),Doi: 101177/0896920513501351
3. Doran C. Managerialism: an ideology and its evolution. International Journal of Management, Knowledge and Learning 2016;5(1):81-97.
4. Shepherd S. Managerialism: an ideal type. Studies in Higher Education 2018;43(9):1668-78.
5. O'Reilly D, Reed M. The grit in the oyster: Professionalism, managerialism and leaderism as discourses of uk public services modernization. Organization Studies. 2011;32(8):1079-101.
6. Zamani A CA. Providing a structural model of innovation based on leadership styles (transformative and pragmatic); Organizational commitment and organizational climate in the Iranian National Tax Administration. quarter professional journal af social sciences. 2019;13(2):73-104.
7. O'Reilly D, Reed M. ‘Leaderism’: an evolution of managerialism in UK public service reform. Public administration. 2010;88(4):960-78
8. Ekman M, Lindgren M, Packendorff J. Universities need leadership, academics need management: discursive tensions and voids in the deregulation of Swedish higher education legislation. Higher Education. 2018;75(2):299-321.
9. Klikauer T. A preliminary theory of manageralism as an ideology . Journal for The theory manageralism as an Ideology 2019:49(4):421-42, Doi:10.1111/Jtsb.12220
10. RaufiPour H, Ahanchian MR. The Status of Human Relationships in School Management Based on the Teachings of Postmodernism. New Educational Approaches. 2007;3(1):19-40.
11. Smeenk S, Teelken C, Eisinga R, Doorewaard H. Managerialism, organizational commitment, and quality of job performances among european university employees. Research in Higher Education. 2009;50(6):589-607.
12. Lončar D. Postmodern organization and new forms of organizational control. Economic Annals. 2005;50(165):105-20.
13. Melo S, Beck M. Quality Management and Managerialism in Healthcare: A Critical Historical Survey: Springer; 2014.
14. Tabrizi JS, HaghGoshayie E, Doshmangir L, Yousefi M. New public management in Iran's health complex: a management framework for primary health care system. Primary Health Care Research and Development. 2018;19(3):264-76.
15. Kheirgoo M, Danaeifard H. Challenges of Public Administration and Their Effects on Iranian National Administration Education: An Explanatory Research. 2012.
16. seyed naghavi m. Organization and management: from modernism to postmodernism. Management Studies in Development and Evolution. 2001;8(29.30):167-89.
17. Esfahani MN EA, Nouri AG. The Relation of Servant Leadership with Organizational Commitment in Esfahan State Welfare Organization. Management Researches. 2011;4(11):105-24.
18. Johnson J. Health Organizations: Theory, Behavior, and Development: Jones & Bartlett Learning; 2009.
19. Ilipinar G, Johnston WJ, Montaña J, Spender J-C, Truex DP. Design thinking in the postmodern organization. Humanistic Management Network, Research Paper Series. 2011(14-6).
20. Carlisle Y. Complexity dynamics: Managerialism and undesirable emergence in healthcare organizations. Journal of Medical Marketing. 2011;11(4):284-93.
21. Pocklington K, Fullan M, Wallace M. Managing complex educational change: Large scale reorganisation of schools: Routledge; 2014.
22. Chaharbaghi K. Provision of public services in an age of managerialism: Looking better but feeling worse. Equal Opportunities International. 2007;26(4):319-30.
23. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International journal of social research methodology. 2005;8(1):19-32.
24. Corbin J SA. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory: SAGE Publications. 2014.
25. Westphan K, Rageczi W, Masotya M, Westphlan BV, Lounsburg K, McDavid L, etal. From Arksey and O’ mally and beyond: Customization to enhance a team-based, mix approach to scoping review amethodology. Methods X 2021 ; 8 : 101375 . Doi: 10.1016 / Jimex. 2021 (1010) 375
26. Tapanila K, Siivonen P, Filander K. Academics’ social positioning towards the restructured management system in Finnish universities. Studies in Higher Education 2020;45(1):117-28.
27. Craayenstein MR, Carmichael T, Musson-Craayenstein A. Rolling with the Punches: Clinician resistance in a managerial NHS hospital. Grounded Theory Review 2020;19(1):47-64.
28. Kirkpatrick I, Hartley K, Kuhmannen E & Veronese G. Clinical management and professionalism. The Palgrave International Handbook of Healthcare Policy and Governance. chapter 20. Springer 2-13: 325-40
29. Peters MD, Godfrey CM, McInerney P, Soares CB, Khalil H, Parker D. The Joanna Briggs Institute Reviewers' Manual 2015: Methodology for JBI Scoping Reviews;2015.
30. Geschwind L, Aarrevaara T, Nordstrand Berg L, Krog Lind J. The changing roles of academic leaders: Decision-making, power, and performance. Reforms, Organizational Change and Performance in Higher Education: A Comparative Account from the Nordic Countries. chapter 6; 2019:181-210
31. Karlsson TS. Searching for managerial discretion: how public managers engage managerialism as a rationalization for increased latitude of action. Public Management Review 2019;21(3):315-33.
32. Machin D. The hybrid professional: an examination of how educational leaders relate to, with and through managerialism. British Journal of Sociology of Education. 2018;39(4):518-34.
33. Tsheola J, Nembambula P. Governance of the south african university under democracy and the triumphalism of managerialism over transformational leadership. Mediterranean Journal of Social Sciences. 2014;5(27):1655-66.
34. Tabrizi JS, Haghgoshayie E, Doshmangir L, Yousefi M. New public management in Iran's health complex: A management framework for primary health care system. Primary Health Care Research and Development. 2018;19(3):264-76.
35. Davis A, Jansen van Rensburg M, Venter P. The impact of managerialism on the strategy work of university middle managers. Studies in Higher Education. 2016;41(8):1480-94.
36. Holkrik M, Dechar N. Values In Mnageralism and Leadership. International Journal of leadership public services 2011:109-18
37. von Knorring M, Alexanderson K, Eliasson MA. Healthcare managers’ construction of the manager role in relation to the medical profession. Journal of Health Organization and Management 2016;30(3):421-40
38. Pollitt C. Managerialism Redux? Financial Accountability and Management. 2016;32(4):429-47.
39. Lynch K. Now manageralism: the impact on education. Journal of Contemporary Community Education Practice Theory 2014: 5(3): 1-10
40. Bresnen M, Hyde P, Hodgson D, Bailey S, Hassard J. Leadership talk: From managerialism to leaderism in health care after the crash. Leadership 2015;11(4):451-70.
41. Reed M, Wallace M. Elite discourse and institutional innovation: Making the hybrid happen in English public services. Research in the Sociology of Organizations2015: 269-302, Doi: 10-1108/S0733-528220150000043022
42. Macfarlane B. Challenging leaderism. Higher Education Research and Development. 2014;33(1):1-4.
43. Edmonstone JD. Escaping the healthcare leadership cul-de-sac. Leadership in Health Services 2017;30(1):76-91.
44. Carlisle Y. complexity dynamics, manageralism and undesirable emergence in health organizations. journal of Medical Marketing 2011; 11(4); 1-10, Doi: 10-1177/174579 0411 424972
45. Chetty G, Louw T, editors. Managerialism or Collegialism? The evolution of these approaches and perceptions thereof in Higher Education in South Africa. 13rd Annual International Conference; 2012.
46. Shatil SH. Manageralism – a social order on the rise critical sociology 2020; 46(7-8):1-8, Doi: 10.1177/0896920520911703
47. Louw VN. From public administration to governance: science or odeology? Journal of Public Administration 2012;47(1):1-10
48. Van Vugt M, Van Rueden CH. From genes to minds to cultures: evolutionary approaches to leadership. The leadership Quanterly 2020:1-10, Doi: 10.1016/leaqua.2020.101404
49. Smeenk S, Teelken C, Eisinga R, Doorewaard H. Managerialism, organizational commitment, and quality of job performances among european university employees. Research in Higher Education 2009;50(6):589-607.
50. Chaharbaghi K. Provision of public services in an age of managerialism: looking better but feeling worse. Equal Opportunities International 2007;26(4):319-30
51. Heystek J. Reflecting on principals as managers or molded leaders in a managerialistic school system. South African Journal of Education 2007;27(3):491-505.
52. Anessi-Pessina E, Cantù E. Whither managerialism in the Italian National Health Service? International Journal of Health Planning and Management 2006;21(4):327-55.
53. Knodachek I, Timoshenko k. Russian Central government budgeting and public sector reform discourses: paradigms, hybrids, and a thid way. International Journal of public Administration 2018;41(5-6), Doi: 10.1080/01900692.2017.1383417
54.Correia T. The interplay between managerialism and medical professionalism in hospital organizations from the doctor ‘s Perspective: a comparison of two disclosure medical units. Health Sociology Review 2013; 22(3): 255-67, Doi: 10.5172/hesr. 2013.22.3.255
55.Dieter Mayer IT. The new manageralism in education management: corporation or organizational learning? Journal of Educational Administration 2002;40(6):534-5, Doi:10.1108/09578230210446027
56. Harris D. Managerialism and Myth: The Legitimacy of Management in Higher Education and the Consequences of its Decline. Power and Education. 2011;3(2):117-27.
57. Beattie B. What impact has managerialism had on a New South Wales area health service? Australian health review : a publication of the Australian Hospital Association 2000;23(4):170-5.
58. Lynch K. New manageralism : the impact on education conceot2014:5(3):1-11
59. Von Knorring M, Alexanderson K, Eliassou M. Health care manager ‘s construction of the manager role on relation to the medical profession. Journal of Health Organization and Management 2016;30(3):421-40, Doi: 10.1108/JHOM-11-2014-0192
60. Davis A, Van Rensburg MJ, Venter P. The impact of managerialism on the strategy work of university middle managers. Studies in Higher Education 2016: 41 (8): 1480-94, Doi: 10.1080/03075079. 2014. 981518
61. Chan A. Surveillance in Hogwarts: Dumbledore's balancing act between manageralisme and anarchism. Children's Literature in Education 2019: 50 (4): 417-30
62. O'reilly D, Reed M. The grit in oysters Professionalism manageralism, and leaderism as discurses of UK Public Services modernization Organization Studies 2011: 32 (8): 1079-1101
63. Dargahi H, Ketabchi Khonsari MH. -Explanation of the Competency model in Selection of Clinical Laboratories’ Managers: A Scoping systematic Review. Laboratory and Diagnosis. 2024;15(62):49-59.
64. Dargahi H, Ketabchi Khonsari MH, Kooshkebaghi M. Explaining a Hybrid Competency-Meritocracy Model for Selection of Hospitals Executive Managers: A Scoping Review. Medical Journal of The Islamic Republic of Iran (MJIRI). 2025;39(1):34-54.
65. Dargahi H, Lotfi A, Isazadeh N. Investigating the Impact of Cultural Management on Talent Management from the Employees̓ Viewpoint of Tehran University of Medical Sciences. 2023.
66. Biglar M, Dargahi H, Ghorbani Z, Garshasbi S. Investigating the impact of empowerment training courses on human resources productivity among Tehran University of Medical Sciences employees. Journal of Hospital. 2020;19(3):67-82.
67. Tajvar M. Effectiveness of in-service training courses for Iranian nurses based on the Kirkpatrick model: a review study. Hakim Journal. 2022;25(3):243-54.
68. Shokrizadeh Arani L, Karami M. The effects of information technology on the improvement of health systems in the viewpoint of the staff of Beheshti Hospital, Kashan. Health Information Management. 2012;8(6):835-41.
69. Oliaei S GL. The role and position of information technology in improving the management and development of services in the healthcare system with the approach of the Internet position of the organization. journal of Faculty of Para Medicine; AJA. 2007;2(3):12-4.
70. Dargahi H, Arabkhani A, Ghorbani R, Roshdi I. Designing a Development Model for the Healthcare System in Iran. Journal of Patient Safety & Quality Improvement. 2023;11(2):87-102.
71. Bruno A, Dell’Aversana G, Zunino A. Customer orientation and leadership in the health service sector: the role of workplace social support. Frontiers in Psychology. 2017; 8:1920.
72. Hozni SA, Hakkak M, Vahdati H, Nazarpouri AH. Challenges and Strategies Towards Clinical Leadership Competency: A Qualitative Study. Depiction of Health. 2020;11(3):223-36.
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| Files | ||
| Issue | Articles in Press: Vol 64 No 02 (2026) | |
| Section | Review Article(s) | |
| Keywords | ||
| Managerialism Leaderism New Public Management Health care organization discourse. | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Dargahi H, Seyed Mahmoudi M, Abolhasanbeigi Gallehzan N. Identifying the need for Integration of managerialism and leaderism in managing health care organizations: introducing a new paradigm by a scoping review. Acta Med Iran. 2026;64(02).
