Are we nearly there yet? A study of the English National Health Service as professional bureaucracies

摘要: The purpose of this paper is to explore issues medical engagement in the management and leadership health services English National Health Service (NHS). literature suggests that an important component high performing systems, although NHS has traditionally struggled engage doctors been characterised as a professional bureaucracy. This study explored ways which care organisations structure operate processes assess degree bureaucracies still exist NHS.,Drawing on qualitative research into nine case sites, reports findings from over 150 interviews with doctors, general managers nurses. In doing so, authors focus specifically operation different hospitals.,Concerted attention focussed led significant changes organisational structures recruitment training for roles. There cadre are substantially more engaged their than previous found. Yet, tended only involve small section overall workforce practice, raising questions about nature broadly.,There limited number studies have sought scale context. represents first kind decade.