Deutero-learning: implications for managing public health change

Rowe, Patricia A. and Boyce, Rosalie A. (2009) Deutero-learning: implications for managing public health change. The Learning Organization: the international journal of knowledge and organizational learning management, 16 (4). pp. 298-310. ISSN 0969-6474


Purpose: The purpose of this paper is to apply an allied health subculture model to clarify key contextual factors that can emerge in the evolution of an allied health subculture as a consequence of deutero-learning. Design/methodology/approach: Two case studies are compared to illustrate these two extreme variations in deutero-learning.
Findings: The first case - characterised by pathological deutero-learning - operated within the classical medical model. A learning pathology that developed in this situation was a fractured, divisive, self absorbed work culture. A second case - characterised by positive deutero-learning - operated within a divisional structure characterized by integrated decentralization. What was learned as a result of operating within this alternative organisational structure is that effective management of allied health recognizes two governance arenas: governance required for managing professionals and governing principles for delivering clinical services. Positive deutero-learning occurred in this situation rather than the reinforcement of existing learning pathologies. Research limitations/implications: There are clearly implications of the two structural models for self-fulfilling prophecies, interpersonal interaction, climate formation and learning pathologies.
Practical implications: During a period of major reform differing outcomes in deutero-learning in these two cases emphasize the importance of the evolution of appropriate organisational structures in developing a leadership-driven learning process and creating an environment in which learning can occur.
Originality/value: The added value of this application of deuteron learning is that it unpacks the nature of variations in deutoro learning that can emerge during a period of major reform in the evolution of an allied health subculture.

Statistics for USQ ePrint 19395
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Historic - Faculty of Sciences - No Department (Up to 30 Jun 2013)
Faculty/School / Institute/Centre: Historic - Faculty of Sciences - No Department (Up to 30 Jun 2013)
Date Deposited: 15 Jul 2011 11:45
Last Modified: 17 Oct 2014 01:16
Uncontrolled Keywords: change management; health services; hospitals; learning processes; organizational restructuring
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1701 Psychology > 170107 Industrial and Organisational Psychology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111709 Health Care Administration
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150305 Human Resources Management
Fields of Research (2020): 52 PSYCHOLOGY > 5201 Applied and developmental psychology > 520104 Industrial and organisational psychology (incl. human factors)
42 HEALTH SCIENCES > 4203 Health services and systems > 420306 Health care administration
35 COMMERCE, MANAGEMENT, TOURISM AND SERVICES > 3505 Human resources and industrial relations > 350503 Human resources management
Socio-Economic Objectives (2008): C Society > 93 Education and Training > 9301 Learner and Learning > 930102 Learner and Learning Processes
Identification Number or DOI:

Actions (login required)

View Item Archive Repository Staff Only