Mediating the cultural boundaries between medicine, nursing and management— the central challenge in hospital reform
作者： P. Degeling , J. Kennedy , M. Hill
关键词:
摘要: This paper documents the resilience of medical and nursing profession-based subcultures extent differences between them. Against this background, we assess capacity willingness managers to promote changes that will extend accountability clinicians engender more evidence-based, financially driven output-oriented approaches service delivery.
sagepub.com
core.ac.uk
acecc.org.au参考文章(10)
R. Thomson, M. Lavender, R. Madhok, How to ensure that guidelines are effective BMJ. ,vol. 311, pp. 237- 242 ,(1995) , 10.1136/BMJ.311.6999.237
Michael J. Hill, New agendas in the study of the policy process ,(1993)
G. Scally, L. J Donaldson, Clinical governance and the drive for quality improvement in the new NHS in England BMJ. ,vol. 317, pp. 61- 65 ,(1998) , 10.1136/BMJ.317.7150.61
Lucian L. Leape, Practice guidelines and standards: an overview. QRB - Quality Review Bulletin. ,vol. 16, pp. 42- 49 ,(1990) , 10.1016/S0097-5990(16)30335-9
Christopher Pollitt, Gordon Marnoch, David Hunter, Steve Harrison, THE RELUCTANT MANAGERS: CLINICIANS AND BUDGETS IN THE NHS Financial Accountability and Management. ,vol. 4, pp. 213- 233 ,(1988) , 10.1111/J.1468-0408.1988.TB00299.X
Joe Feinglass, J. Warren Salmon, Corporatization of medicine: the use of medical management information systems to increase the clinical productivity of physicians. International Journal of Health Services. ,vol. 20, pp. 233- 252 ,(1990) , 10.2190/5N2R-MWAN-FWY2-JVHQ
Wai-Fong Chua, Pieter Degeling, Interrogating an accounting-based intervention on three axes: Instrumental, moral and aesthetic Accounting, Organizations and Society. ,vol. 18, pp. 291- 318 ,(1993) , 10.1016/0361-3682(93)90018-2
Jonathan Lomas, Geoffrey M. Anderson, Karin Domnick-Pierre, Eugene Vayda, Murray W. Enkin, Walter J. Hannah, Do Practice Guidelines Guide Practice? New England Journal of Medicine. ,vol. 321, pp. 1306- 1311 ,(1989) , 10.1056/NEJM198911093211906
Pieter J. Degeling, Unrecognised structural implications of casemix management. Health Services Management Research. ,vol. 7, pp. 9- 21 ,(1994) , 10.1177/095148489400700102
Stephen Harrison, David J. Hunter, Gordon Marnoch, Christopher Pollitt, Managing the NHS Macmillan Education UK. pp. 95- 117 ,(1992) , 10.1007/978-1-349-22376-3_5