title: Planes, straws and oysters: the use of metaphors in healthcare reform.
abstract: OBJECTIVE
  The purpose of the paper is to examine the metaphors used by senior managers and clinicians in the delivery of healthcare reform.
  
  
  METHODS
  A study of healthcare reform in England carried out a series of semi structured interviews with senior managers and clinicians leading primary and secondary care organisations. Qualitative data analysis examines instances where metaphorical language is used to communicate how particular policy reforms are experienced and the implications these reforms have for organisational contexts.
  
  
  RESULTS
  The findings show how metaphorical language is used to explain the interactions between policy reform and organisational contexts. Metaphors are used to illustrate both the challenges and opportunities associated with the reform proposals for organisational change.
  
  
  CONCLUSIONS
  The authors provide the first systematic study of patterns and meanings of metaphors within English healthcare contexts and beyond. The authors argue that these metaphors provide important examples of "generative" dialogue in their illustration of the opportunities associated with reform. Conversely, these metaphors also provide examples of "degenerative" dialogue in their illustration of a demarcation between the reform policy proposals and existing organisational contexts.
authors.affiliation: University of Birmingham.
authors.forename: Ross
authors.initials: R
authors.lastname: Millar
authors.forename: Helen
authors.initials: H
authors.lastname: Dickinson
mesh_terms: D004059:Diffusion of Innovation; D004739:England; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D007407:Interviews as Topic; D019365:Metaphor; D036301:Qualitative Research; D013222:State Medicine
keywords: Healthcare reform; Language; Metaphor; Organizational change; Policy