Harkness Project Title: Academic Health Center Mergers: Understanding Institutional Processes in U.S. Health Care
Mentors: Stephen M. Shortell, Ph.D., and Charlene Harrington, Ph.D.
Placement: University of California, Berkeley
Biography at time of Harkness Fellowship: Martin J. Kitchener, a 1999–2000 Commonwealth Fund Harkness Fellow in Health Care Policy, is a lecturer in organizational behavior in the School of Business at Cardiff University. He is also principal researcher on a Welsh Office-funded study investigating the dynamics of inter-professionals working in mental health care. Before joining the Business School as an Economic and Social Research Council management teaching fellow, Kitchener worked for the U.K. National Health Service. His research has focused on the organization and management of professional service organizations in health, social care and local government. Kitchener has published his work in national and international journals including Organization, Public Administration, British Journal of Management and the International Journal of Public Sector Management. He co-authored A Managed Service: The External Management of Children’s Homes, and has contributed chapters to edited volumes on research methods, institutional theory and the management of change in health care.
Project: Kitchener examined the merger between the academic health centers of Stanford University and the University of California, San Francisco – with a particular focus on the organizational and cultural roadblocks that led to the merger’s failure. He conducted a literature review, analyzed internal documents, and interviewed key players in the merger process.
Career Activity Since Fellowship
Current Position: Dean and Head of School, Cardiff Business School (Updated 1/2014)
Adelman, T. et al.” Change and inertia in the new york state medicaid personal care services program: an institutional case study,” Journal of Aging & Social Policy 2012; 24(3), pp. 309-327.
Currie, G. et al. “Let's dance: organization studies, medical sociology and health policy,” Social Science & Medicine 2012; 74(3), pp. 273-280.
Kitchener, M. J. and Mertz, E. “Professional projects and institutional change in healthcare: The case of American dentistry,” Social Science & Medicine 2012; 74(3), pp. 372-380.
Harrington, C., Ng, T. and Kitchener, M. J. ”Do Medicaid home and community based service waivers save money?” Home Health Care Services Quarterly 2011; 30(4), pp. 198-213.
Kitchener, M. J. 2010. Social movement challenges to structural archetypes: abortion rights, AIDS, and long-term care. In: Banaszak-Holl, J. C., Levitsky, S. R. and Zald, M. N. eds. Social Movements and the Transformation of American Healthcare. Oxford: Oxford University Press, pp. 118-128.
Ng, T., Harrington, C. and Kitchener, M. J. “Medicare and medicaid in long-term care,” Health Affairs 2010 29(1), pp. 22-28.
Beynon, M. J. and Kitchener, M. J. 2010. Data mining using fuzzy decision trees: an exposition from a study of public services strategy in the USA. In: Syvajarvi, A. and Stenvall, J. eds. Data Mining in Public and Private Sectors: Organizational and Government Applications. Hershey, PA.: IGI Global.Currie, G. and Kitchener, M. J. eds. 2010. Organizing health services (Four-Volume Set). Organizing & managing public services. London: Sage.
Kitchener, M. J. and Leca, B. 2009. A critical realist analysis of institutional change in the field of US nursing homes. In: Currie, G. et al. eds. Making Public Services Management Critical. Routledge Critical Studies in Public Management Abingdon, UK: Routledge, pp. 134-156.
Tellez, M. et al. “Do wages matter?: A backward bend in the 2004 California RN labor supply,” Policy, Politics, & Nursing Practice 2009; 10(3), pp. 195-203.
Kitchener, M. J. and Exworthy, M. 2008. “Models of medical work control: a theory elaboration from English general practice,” In: Ferlie, E., Hyde, P. and McKee, L. eds. Organizing and reorganizing: power and change in healthcare organizations. Basingstoke: Palgrave Macmillan, pp. 209-223.
Kitchener, M. et al.. “Developing Personal Care Programs: National Trends and Interstate Variation, 1992-2002,” Inquiry 2007; 44(1), pp. 69-87.
Kitchener, M. et al.. “Shareholder value and the performance of a large nursing home chain,” Health Services Research 2007; 43(3), pp. 1062-1084.
Kitchener M, Ng T, and Harrington C. “Medicaid Home and Community-Based Services for the Elderly: Trends in Programs and Policies,” Journal of Applied Gerontology 2007; 26(3): 305-324.
Kitchener M., Ng T, Miller N, and Harrington C. “Public Expenditure Savings from the Use of Medicaid Home and Community-Based Waivers,” Journal of Health and Social Policy 2006; 22(2): 31-50.
Miller N., Elder K, Rubin A, Kitchener M, and Harrington C. “Strengthening Home and Community Based Care Through Medicaid Waivers.” Journal of Aging and Social Policy 2006; 18(1): 1-16.
Kitchener M, Hernandez M, Ng T, and Harrington C. “Residential Care Provision in Medicaid Home and Community-Based Waivers: A National Study of Program Trends.” The Gerontologist 2006; 46(2): 165-172.
Kitchener M, Ng T, Miller N, Harrrington C, “Medicaid Home and Community-Based Services: National Program Trends,” Health Affairs 2005; 24(1): 206-212.
Kitchener, M. J., Caronna, C. A. and Shortell, S. M. “From the doctor's workshop to the iron cage? Evolving modes of physician control in US health systems,” Social Science & Medicine 2005; 60(6), pp. 1311-1322.
Harrington C, Tonner C, Wellin V, Kitchener M, Kaskie B, Halladay PM, Crawford C, Ganchoff C, Newcomer R. “The Role of Medi-Cal in California’s Long-Term Care System,” Presented to the Department of Social and Behavioral Sciences, University of California, San Francisco, July 2000.