Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-23T00:51:11.942Z Has data issue: false hasContentIssue false
  • English
  • Français

Understanding Healthcare Social Enterprises: A New Public Governance Perspective

Published online by Cambridge University Press:  23 March 2021

YANTO CHANDRA Open the ORCID record for YANTO CHANDRA [Opens in a new window] ,
LIANG SHANG Open the ORCID record for LIANG SHANG [Opens in a new window]  and
MICHAEL J. ROY Open the ORCID record for MICHAEL J. ROY [Opens in a new window]
YANTO CHANDRA
Affiliation:
Department of Applied Social Sciences, Center for Social Policy and Social Entrepreneurship, The Hong Kong Polytechnic University, Kowloon, Hong Kong email: [email protected]
LIANG SHANG
Affiliation:
Department of Social Work, The Chinese University of Hong Kong, Hong Kong email: [email protected]
MICHAEL J. ROY
Affiliation:
Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, United Kingdom email: Michael. [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

In recent years ‘social enterprises’ have become important partners in the delivery of key public services such as healthcare. However, little is known about how healthcare social enterprises contribute to public service provision in the health sector. We analyzed 172 social enterprises from four continents involved in healthcare to assess the types of interventions, processes, and roles they play responding to rapidly evolving healthcare systems. We found that they are engaged broadly in three dimensions of health service provision: improving access to health services; improving the quality of health services; and building public health capacity. We contribute to social policy theory by enhancing understanding of the micro-level interventions of social enterprises in the healthcare sector and articulating new dimensions of NPG that include co-innovation, co-lobbying, and co-integration in the context of healthcare.

Keywords

social enterprisehealthcarehealthinterventionNew Public Governance
Type
Article
Information
Journal of Social Policy , Volume 51 , Issue 4 , October 2022 , pp. 834 - 855
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allen, P. (2009), ‘Restructuring the NHS again: supply side reform in recent English health care policy’. Financial accountability & management, 25:4, 373–389.CrossRefGoogle Scholar
Barraket, J. and Yousefpour, N. (2013), ‘Evaluation and social impact measurement amongst small to medium social enterprises: Process, purpose and value’. Australian Journal of Public Administration, 72:4, 447–458.CrossRefGoogle Scholar
Battilana, J. and Lee, M. (2014), ‘Advancing research on hybrid organizing–Insights from the study of social enterprises’. The Academy of Management Annals, 8:1, 397–441.CrossRefGoogle Scholar
Borzaga, C. and Fazzi, L. (2014), ‘Civil society, third sector, and healthcare: The case of social cooperatives in Italy’. Social Science & Medicine, 123, 234–241.CrossRefGoogle ScholarPubMed
Bovaird, T. and Loeffler, E. (2012), ‘From engagement to co-production: The contribution of users and communities to outcomes and public value’. Voluntas: International Journal of Voluntary and Nonprofit Organizations, 23:4, 1119–1138.CrossRefGoogle Scholar
Brandsen, T. and Pestoff, V. (2006), ‘Co-production, the third sector and the delivery of public services: An introduction’. Public management review, 8:4, 493–501.CrossRefGoogle Scholar
Brandsen, T., Pestoff, V. and Verschuere, B. (2013), Co-production as a maturing concept. In Pestoff, V., Brandsen, T. and Verschuere, B (Eds.), New Public Governance, the Third Sector, and Co-Production (pp. 19–28), New York: Routledge.Google Scholar
Brandsen, T. and Karré, P. M. (2011), Hybrid organizations: No cause for concern?. International Journal of Public Administration, 34(13), 827–836.CrossRefGoogle Scholar
Brown, K., Keast, R. and Waterhouse, J. (2013), ‘Co-management to solve homelessness: Wicked solutions for wicked problems’. In Barraket, J., Keast, R. and Furneaux, C. (eds.), New Public Governance, the Third Sector, and Co-Production (pp. 229–244), New York: Routledge.Google Scholar
Calò, F., Roy, M. J., Donaldson, C., Teasdale, S. and Baglioni, S. (2019), ‘Exploring the contribution of social enterprise to health and social care: A realist evaluation’. Social Science and Medicine, 222, 154–161.CrossRefGoogle ScholarPubMed
Calò, F., Teasdale, S., Donaldson, C., Roy, M. J. and Baglioni, S. (2018), ‘Collaborator or competitor: assessing the evidence supporting the role of social enterprise in health and social care’. Public Management Review, 20:12, 1790–1814.CrossRefGoogle Scholar
Chandra, Y., Teasdale, S. and Tjiptono, F. (2021), Social entrepreneurship research in the Greater China Region: A scoping review and new research framework. Journal of Asian Public Policy (early print version).CrossRefGoogle Scholar
Chandra, Y. and Shang, L. (2021), ‘Social entrepreneurship interventions in the HIV/AIDS sector: A social entrepreneurship–social work perspective’. International Social Work, 64(1), 5–23.CrossRefGoogle Scholar
Chandra, Y. and Paras, A. (2020), ‘Social Entrepreneurship in the Context of Disaster Recovery: Organizing for Public Value Creation’. Public Management Review (in press).CrossRefGoogle Scholar
Corbin, J. M. and Strauss, A. (1990), ‘Grounded theory research: Procedures, canons, and evaluative criteria’. Qualitative Sociology, 13:1, 3–21.CrossRefGoogle Scholar
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I. and Petticrew, M. (2008), ‘Developing and evaluating complex interventions: the new Medical Research Council guidance’. British Medical Journal, 337:7676, 979–983.Google ScholarPubMed
Dart, R. (2004), ‘The legitimacy of social enterprise’. Nonprofit Management and Leadership, 14:4, 411–424.CrossRefGoogle Scholar
Defourny, J., Nyssens, M. and Brolis, O. (2020), Testing social enterprise models across the world: Evidence from the “International Comparative Social Enterprise Models (ICSEM) project”. Nonprofit and Voluntary Sector Quarterly, 0899764020959470.Google Scholar
Defourny, J. and Nyssens, M. (2010), ‘Social enterprise in Europe: At the crossroads of market, public policies and third sector’. Policy and Society, 29:3, 231–242.CrossRefGoogle Scholar
Ebrahim, A., Battilana, J. and Mair, J. (2014), The governance of social enterprises: Mission drift and accountability challenges in hybrid organizations. Research in Organizational Behavior, 34, 81–100.CrossRefGoogle Scholar
Eikenberry, A. M. and Kluver, J. D. (2004), The marketization of the nonprofit sector: Civil society at risk? Public Administration Review, 64(2), 132–140.CrossRefGoogle Scholar
Elliott, O. V. and Salamon, L. M. (2002), The Tools of Government: A Guide to the New Governance. Oxford University Press.Google Scholar
Farmer, J., De Cotta, T., McKinnon, K., Barraket, J., Munoz, S. A., Douglas, H. and Roy, M. J. (2016), ‘Social enterprise and wellbeing in community life’. Social Enterprise Journal, 12:2, 235–254.CrossRefGoogle Scholar
Farmer, J., Kamstra, P., Brennan-Horley, C., De Cotta, T., Roy, M., Barraket, J…. and Kilpatrick, S. (2020), ‘Using micro-geography to understand the realisation of wellbeing: A qualitative GIS study of three social enterprises’. Health and Place, 102293.CrossRefGoogle Scholar
Ferguson, K. M. (2012), ‘Merging the fields of mental health and social enterprise: Lessons from abroad and cumulative findings from research with homeless youths’. Community Mental Health Journal, 48:4, 490–502.CrossRefGoogle ScholarPubMed
Ferlie, E., Fitzgerald, L. and Pettigrew, A. (1996), The New Public Management in Action. OUP Oxford.CrossRefGoogle Scholar
Ganz, M., Kay, T. and Spicer, J. (2018), Social enterprise is not social change. Stanford Social Innovation Review, 16(Spring), 59–60.Google Scholar
Gioia, D. A., Corley, K. G. and Hamilton, A. L. (2013), ‘Seeking qualitative rigor in inductive research: Notes on the Gioia methodology’. Organizational Research Methods, 16:1, 15–31.CrossRefGoogle Scholar
Glaser, B. and Strauss, A. (1967), The discovery of grounded theory. London: Weidenfield and Nicolson Google Scholar
Gray, M., Healy, K. and Crofts, P. (2003), Social enterprise: Is it the business of social work? Australian Social Work, 56(2), 141–154.CrossRefGoogle Scholar
Hall, K., Alcock, P. and Millar, R. (2012a), ‘Start up and sustainability: Marketisation and the social enterprise investment fund in England’. Journal of Social Policy, 41:4, 733–749.CrossRefGoogle Scholar
Hall, K., Miller, R. and Millar, R. (2012b), ‘Jumped or pushed: what motivates NHS staff to set up a social enterprise?’. Social Enterprise Journal, 8:1, 49–62.CrossRefGoogle Scholar
Hall, K., Miller, R. and Millar, R. (2016), ‘Public, private or neither? Analysing the publicness of health care social enterprises’. Public Management Review, 18:4, 539–557.CrossRefGoogle Scholar
Hoogendoorn, B., Pennings, E. and Thurik, R. (2012), Conceptual overview of what we know about social entrepreneurship. In DeFilippis, J. and Saegert, S. (Eds.), The Community Development Reader, 2nd Ed, New York: Routledge, p. 117–124.Google Scholar
Howlett, M., Kekez, A. and Poocharoen, O. O. (2017), ‘Understanding co-production as a policy tool: Integrating new public governance and comparative policy theory’. Journal of Comparative Policy Analysis: Research and Practice, 19:5, 487–501.Google Scholar
Jenson, J. (2017), ‘Modernising the European social paradigm: Social investments and social entrepreneurs’. Journal of Social Policy, 46:1, 31–47.CrossRefGoogle Scholar
Kerlin, J.A. (2013), Defining social enterprise across different contexts: A conceptual framework based on institutional factors. Nonprofit and Voluntary Sector Quarterly, 42(2), 84–108.CrossRefGoogle Scholar
Krupa, T., Sabetti, J. and Lysaght, R. (2019), ‘How Work Integration Social Enterprises Impact the Stigma of Mental Illness’. Social Enterprise Journal, 15:4, 475–494.CrossRefGoogle Scholar
Lindsay, C., Osborne, S. P. and Bond, S. U. E. (2014), ‘The ‘new public governance’ and employability services in an era of crisis: Challenges for third sector organizations in Scotland’. Public Administration, 92:1, 192–207.CrossRefGoogle Scholar
Macaulay, B., Mazzei, M., Roy, M. J., Teasdale, S. and Donaldson, C. (2018), ‘Differentiating the effect of social enterprise activities on health’. Social Science and Medicine, 200, 211–217.CrossRefGoogle ScholarPubMed
Mason, C., Barraket, J., Friel, S., O’Rourke, K. and Stenta, C. P. (2015), Social innovation for the promotion of health equity. Health Promotion International, 30(suppl_2), ii116–ii125.CrossRefGoogle ScholarPubMed
Mazzei, M., Teasdale, S., Calò, F. and Roy, M. J. (2019), ‘Co-production and the third sector: conceptualising different approaches to service user involvement’. Public Management Review, 1-19.Google Scholar
Mendell, M. (2010), ‘Reflections on the evolving landscape of social enterprise in North America’. Policy and Society, 29:3, 243–256.CrossRefGoogle Scholar
Millar, R. and Hall, K. (2013), ‘Social return on investment (SROI) and performance measurement: The opportunities and barriers for social enterprises in health and social care’. Public Management Review, 15:6, 923–941.CrossRefGoogle Scholar
Miller, R., Millar, R. and Hall, K. (2012), ‘New development: Spin-outs and social enterprise: the ‘right to request’ programme for health and social care services’. Public Money and Management, 32:3, 233–236.CrossRefGoogle Scholar
Moore, M. H. (1995), Creating Public Value: Strategic Management in Government. Harvard University Press.Google Scholar
Nisar, T. M. (2013), ‘Implementation constraints in social enterprise and community public private partnerships’. International Journal of Project Management, 31:4, 638–651.CrossRefGoogle Scholar
Osborne, S. P. (2010), Public governance and public services delivery: a research agenda for the future. In The New Public Governance, (pp. 413–428), New York: Routledge.CrossRefGoogle Scholar
Osborne, S. P. (2018), From public service-dominant logic to public service logic: are public service organizations capable of co-production and value co-creation? Public Management Review, 20:2, 225–231.CrossRefGoogle Scholar
Pestoff, V. (2012), ‘Co-production and third sector social services in Europe: Some concepts and evidence’. Voluntas: International Journal of Voluntary and Nonprofit Organizations, 23:4, 1102–1118.CrossRefGoogle Scholar
Pestoff, V. and Brandsen, T. (2010), Public governance and the third sector: opportunities for co-production and innovation?. In Osborne, SP (ed.), The New Public Governance: Emerging Perspectives on the Theory and Practice of Public Governance, 223–236, New York: Routledge.Google Scholar
Powell, M., Gillett, A. and Doherty, B. (2019), ‘Sustainability in social enterprise: hybrid organizing in public services’. Public Management Review, 21:2, 159–186.CrossRefGoogle Scholar
Roy, M. J., Donaldson, C., Baker, R. and Kay, A. (2013), ‘Social enterprise: new pathways to health and well-being?’. Journal of Public Health Policy, 34:1, 55–68.CrossRefGoogle ScholarPubMed
Roy, M. J., Donaldson, C., Baker, R. and Kerr, S. (2014), ‘The potential of social enterprise to enhance health and well-being: A model and systematic review’. Social Science and Medicine, 123, 182–193.CrossRefGoogle Scholar
Roy, M. J., Macaulay, B., Donaldson, C., Teasdale, S., Baker, R., Kerr, S…. and Teasdale, S. (2018), ‘Two false positives do not make a right: Setting the bar of social enterprise research even higher through avoiding the straw man fallacy’. Social Science and Medicine, 217, 42–44.CrossRefGoogle Scholar
Solar, O. and Irwin, A. (2010), A Conceptual Framework for Action on the Social Determinants of Health. World Health Organisation. Retrieved on 15 June 2020 from http://whqlibdoc.who.int/publications/2010/9789241500852_eng.pdf Google Scholar
Teasdale, S. and Dey, P. (2019), ‘Neoliberal governing through social enterprise: Exploring the neglected roles of deviance and ignorance in public value creation’. Public Administration, 97:2, 325–338.CrossRefGoogle Scholar
Venot, J. P. (2016), A success of some sort: Social enterprises and drip irrigation in the developing world. World Development, 79, 69–81.CrossRefGoogle Scholar
Supplementary material: File

Chandra et al. supplementary material

Chandra et al. supplementary material

Download Chandra et al. supplementary material(File)
File 470.7 KB