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Turbulence in the Management of Health Services



Год выпуска: 2010
Автор: Jennene Greenhill
Издательство: LAP Lambert Academic Publishing
Страниц: 320
ISBN: 9783838336497
Описание
Using a longitudinal, critical ethnographic approach this book explored how a change process was managed over a five-year period at a large Australian hospital. It aimed to explain how power dynamics that operate in the health system actively generate systemic inertia making organisational change difficult and complex. The book questions the efficacy of the rise of the new public management agenda and clinical management as valorised practice among clinicians.The most important contributions of this book are findings that reveal how new public management infiltrated political, professional and bureaucratic fields of power strengthening pre-existing power structures that underpin a dominant discourse, which is reproduced through systemic inertia. The findings suggest the current top down approach to planning needs to be reversed if a more integrated Australian health system is to be established. To hear and act upon the muted voices of patients and the wider community it is necessary...


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Анна (Москва)
Здравствуйте, Ирина. Сегодня ездила к своему преподавателю. Все с ней окончательно обсудили, уточнили. Сказала, что можно переплетать работу и ехать подписывать у зав.кафедрой. Работа после вашего сопровождения рекомендована к защите с оценкой "отлично". Ирина, спасибо Вам огромное за проделанную работу, за помощь и отзывчивость, за грамотный и внимательный подход к написанию диплома!!!