INTRODUCTION:
Health journalists are dying from newsrooms more rapidly than other news specializations in part because of a prevailing belief among newsroom chieftains that health journalism is expendable and in part because health information is more readily available from a wider breadth of sources than ever before (Bristol & Donnelly, 2011). At a time when public interest in health issues remains high and health journalists as a whole have shown more willingness than other reporters to use certain social media in the journalism process, the work of freelance journalists has come to represent an important conduit of health information. If health journalists have the potential to create new forms of knowledge building and community construction by embracing social media and if a growing segment of those journalists are entrepreneurial, then the exploration of both is warranted. Health and health care need to be distinguished from each other for no better reason than that the former is often incorrectly seen as a direct function of the latter. Heath is clearly not the mere absence of disease. Good Health confers on a person or groups freedom from illness - and the ability to realize one's potential. Health is therefore best understood as the indispensable basis for defining a person's sense of well-being. The health of populations is a distinct key issue in public policy discourse in every mature society often determining the deployment of huge society. They include its cultural understanding of ill health and well-being, extent of socio-economic disparities, reach of health services and quality and costs of care and current bio-medical understanding about health and illness. Healthcare organizations can act as institutional entrepreneurs in a context of change. First, we present the institutional theory concepts on which our work. We analyze the process of institutional change advanced by a healthcare organization through the emergence, implementation and diffusion of an innovation in the organizational field. Based on this empirical case, we discuss how healthcare organizations can act as institutional entrepreneurs and become driving forces in de-institutionalizing and re-institutionalizing a field‟s practices. We conclude with a discussion of the implications of our findings for research and practice. Institutional theory is one of the most prominent approaches used for understanding organizational phenomena (Battilana et al., 2009; Greenwood et al., 2008; Scott, 2000).Whereas early institutional studies were interested in actors‟ agency, later studies focused much of their attention on how environmental context influenced actors (DiMaggio and Powell, 1983; Tolbert and Zucker, 1983). Following DiMaggio‟s suggestion that institutional theory should reincorporate an “agency” concept, scholars have become increasingly interested in understanding how organizations also shape their environment. In seeking to understand better how innovative behaviours emerge, how individuals and organizations behave strategically, and how they influence change in institutionalized environments, scholars have developed the concept of institutional entrepreneurship (Beckert, 1999; Oliver, 1991). Institutional entrepreneurs, whether organizations or individuals, are described as actors who put forward ideas that diverge from dominant models (Battilana et al., 2009) and thereby introduce change in established routine practices.
Institutional theory –
How organizations in turn influence their environment? This concept, known as the “paradox of embedded agency” (Seo and Creed, 2002), reflects the tensions that exist between institutional determinism and agency with respect to specific action (Battilana et al., 2009; Greenwood and Suddaby,2006). this paradox combines the key characteristics of neo- institutionalism (environmental pressures) and earlier work on agency (Haveman and David, 2008). Thus, a central challenge for institutional theory is to show how and why entrenched actors develop into motivated and able to picture new practices and then get others to adopt them (Greenwood and Suddaby, 2006). In this section, we for a short time describe the environmental pressures that influence managerial behaviour. Then we present the concept of institutional entrepreneurs. Finally, we introduce a conceptual model that can help in understanding the process of institutional change, by seeking to bridge what have come to be termed “old” and “new” institutionalisms in organizational analysis.
INNOVATING ENTREPRENEURSHIP IN HEALTH CARE
This paper focuses on the journalist‟s role in innovating health care. There are two types of innovations: entrepreneurial innovations and institutional innovations. The difference between these is: entrepreneurial innovations and institutional innovations, the Entrepreneurial innovations – The aim of entrepreneurial innovations is to find new ways to enlarge market-share, size, and competitive position of organizations. Institutional innovations -The aims of institutional innovations is to find new ways to connect „old‟ and „new‟ logics in health care in order to make a long-standing contribution to a new
type of health care system.
CONCLUSION:
The paper reports on the extent to which entrepreneurial healthcare organizations can be a driving force in the creation of a new practice. The analysis is the development of a centre by a healthcare organization acting as an institutional entrepreneur that illustrates the conceptualization of an innovation and the mobilization of resources to implement it and to influence other actors in the field. The three stages of change are: emergence, implementation and diffusion.
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Mylaine Breton, Lise Lamothe, Jean-Louis Denis()”How healthcare organisations can
act as institutional entrepreneurs in a context of change” Journal of Health Organization and Management Vol. 28 No. 1, 2014