The Dilemma of Health Reform: Managing the limits of policymaking, managerialism and professionalism in health care reform,Used

The Dilemma of Health Reform: Managing the limits of policymaking, managerialism and professionalism in health care reform,Used

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SKU: DADAX3838369246
Brand: LAP Lambert Academic Publishing
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Poor performance is pressuring hospitals worldwide to reform, but the process of reform is contested, uneven and slow. Reform often fails to address the core business of hospitals: managing clinical work, and stakeholders can limit opportunities for collaborative problem solving as they seek to impose their own frame of reference in the struggle for control. This book is based on research into performance in 12 public hospitals in Australia and its relation to organisational culture. Hospitals with inclusive strategies for change, principally strategies of agreement, joint education and skills development, teambased incentives to direct and reward effort and a method to manage clinical work performed better than those without. Cost containment and patient safety dominated as policy objectives but these alone did not engage clinician interest or address service quality. Service systems necessary to support reform were not present in the majority of hospitals studied. Research results are used to develop an organisational model of clinical work management to improve health service costeffectiveness.

⚠️ WARNING (California Proposition 65):

This product may contain chemicals known to the State of California to cause cancer, birth defects, or other reproductive harm.

For more information, please visit www.P65Warnings.ca.gov.

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