Abstract:
PURPOSE:This paper aims to identify variation in the introduction of New Public Management reforms in healthcare and how this variation is related to country-specific healthcare states. DESIGN/METHODOLOGY/APPROACH:The analysis uses the introduction of clinical standards in Britain and Germany as cases. The two countries are characterised by interesting differences in relation to the institutional set-up of healthcare states and as such present ideal cases to explore the specific ways of how healthcare states filter clinical standards as tools of a generic managerialism. FINDINGS:Both countries have introduced clinical standards but, importantly, the substantive nature of clinical standards differs, reflecting differences in initial institutional conditions. More specifically, in Britain clinical standards have taken the form of two parallel policies, which strengthen hierarchy-based governing and redefine professional self-regulation. In Germany, by contrast, clinical standards come in one single policy, which strengthens the hybrid of network- and hierarchy-based governing and to some extent also pure hierarchy-based forms of governing. ORIGINALITY/VALUE:First, with its cross-country comparative focus, the analysis is able to identify systematic variations across healthcare states and the specific ways in which they impact on the introduction of New Public Management. Second, with its focus on clinical standards, the analysis deals with the governance of medical practice as one of the central areas of healthcare states.
journal_name
J Health Organ Managjournal_title
Journal of health organization and managementauthors
Burau V,Fenton Ldoi
10.1108/14777260910966726subject
Has Abstractpub_date
2009-01-01 00:00:00pages
289-303issue
3eissn
1477-7266issn
1758-7247journal_volume
23pub_type
杂志文章abstract::Purpose Close collaboration between NHS clinicians and managers is essential in providing effective healthcare, but relationships between the two groups are often poor. Paired learning is a peer-peer buddying tool that can break down barriers, increase knowledge and change attitudes. Paired learning has been used with...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-10-2017-0263
更新日期:2018-03-19 00:00:00
abstract::Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surgeon's decision that considers criticality of the surgery, patient's conditions before and after surgery, expected time to recovery and experience of the surgeon involved. Decision on patients' LOS at hospital post-surgery a...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-08-2017-0196
更新日期:2018-06-18 00:00:00
abstract:PURPOSE:Improving early diagnosis of cancer through system change initiatives is endemic in England's NHS cancer services. These initiatives, however, often fail to gain traction due to the complexities of health system structures. The purpose of this paper is to explore whether using a change framework grounded in sys...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-02-2019-0031
更新日期:2019-12-19 00:00:00
abstract:PURPOSE:Primary care cancer lead clinicians (PCCLs) act strategically in primary care trusts (PCTs) in England to improve communication and understanding of cancer across primary and secondary care and provide a link between Cancer Networks and primary care. The aim is to evaluate the first three years of the initiativ...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260610661538
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:A vehicle to reduce health inequalities and improve public health has been provided by programmes at a neighbourhood level. The purpose of this paper is to analyse the development processes in four municipalities for achieving sustainable structures in area-based development programmes during and after a formal...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777261311321798
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:Hong Kong was particularly affected by the 2003 outbreak of Severe Acute Respiratory Syndrome (SARS). During the epidemic, it seemed as if the Hong Kong government and health system were barely coping, leading to calls of mismanagement and governance incapacity. In the wake of the SARS outbreak, two inquiries w...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260510600031
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:Authentic leadership is an emerging theoretical model purported to focus on the root component of effective leadership. The purpose of this paper is to describe the relevance of authentic leadership to the advancement of nursing leadership practice and research and address the question of whether this is a new ...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260910984014
更新日期:2009-01-01 00:00:00
abstract::Purpose Worldwide, there is significant growth in the cost of (and demand for) healthcare, which often clashes with a requirement to contain expenditure. This duality leads to an increasing need for a systematic approach to disinvestment in health technologies. The purpose of this paper is to consider the challenges a...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-10-2016-0189
更新日期:2016-11-21 00:00:00
abstract:PURPOSE:This paper seeks to present findings from a longitudinal action research study aimed at exploring one such innovation. Little is known about the micro-level impact of health service innovations over time. DESIGN/METHODOLOGY/APPROACH:The paper shows that action research is a participatory approach ideally suite...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260710778916
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:The purpose of this article is to explore factors influencing career deciding amongst pharmacy students and graduates in the U.K. DESIGN/METHODOLOGY/APPROACH:Group interviews were used to devise a topic guide for five subsequent focus groups with pharmacy students and graduates. Focus groups were tape-recorded...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260910942579
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:The purpose of this research is to investigate the extent of outsourcing, the decision-making process, the impact of outsourcing, and the future trend of outsourcing in public hospitals in Greece. DESIGN/METHODOLOGY/APPROACH:A survey instrument was designed and mailed to a random sample of 100 public hospitals...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260610656534
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:Healthcare systems are increasing in complexity, and to ensure people can use the system effectively, health organizations are increasingly interested in how to take an organizational health literacy (OHL) approach. OHL is a relatively new concept, and there is little evidence about how to successfully implemen...
journal_title:Journal of health organization and management
pub_type: 杂志文章,评审
doi:10.1108/JHOM-06-2019-0167
更新日期:2020-03-19 00:00:00
abstract::The development of any scientific theory has a certain logic. Bruno Latour formulated a theory, describing the development of science and technology. Outcomes of science are not guided by nature or "the truth", but by a complex negotiation. It starts with ideas, which follow paths of publications and assessment. Then ...
journal_title:Journal of health organization and management
pub_type: 杂志文章,评审
doi:10.1108/14777260310506614
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:The purpose of this paper is to present a description of the Irish national clinical governance development initiative and an evaluation of the initiative with the purpose of sharing the learning and proposing actions to activate structures and processes for quality and safety. The Quality and Patient Safety Di...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-03-2014-0046
更新日期:2015-01-01 00:00:00
abstract::Purpose Over the last decade there has been considerable debate about the merits of targets as a policy instrument. The purpose of this paper is to examine the implementation of two health targets that were cornerstones of New Zealand health policy between 2009 and 2012: immunisation rates for two-year-olds, and time ...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-08-2015-0126
更新日期:2016-09-19 00:00:00
abstract:PURPOSE:The authors draw selectively on theories of learning and knowledge, which currently have received little attention from knowledge translation (KT) researchers, and suggest how they might usefully inform future development of the KT literature. The purpose of this paper is to provide conceptual tools and strateg...
journal_title:Journal of health organization and management
pub_type: 杂志文章,评审
doi:10.1108/JHOM-01-2012-0004
更新日期:2013-01-01 00:00:00
abstract::Purpose The purpose of this paper is to investigate the relationship between patient safety culture and two attitudinal constructs: affective organizational commitment and structural empowerment. In doing so, the main and interaction effects of the two constructs on the perception of patient safety culture were assess...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-07-2016-0150
更新日期:2017-03-20 00:00:00
abstract:PURPOSE:The purpose of this paper is to document everyday practices by which hospitalist physicians negotiate barriers to effective teamwork. DESIGN/METHODOLOGY/APPROACH:Ethnographic observation with a sample of hospitalists chosen to represent a range of hospital and practice types. FINDINGS:Hospitals rely on effect...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-01-2015-0008
更新日期:2015-01-01 00:00:00
abstract::Purpose The purpose of this paper is to critically explore hybrid organisations in health care. It examines the broad literature on hybrids focusing on issues of perspective, definition, sub-type and level. It then presents the results of the literature review of hybrid health care organisations, exploring which organ...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-04-2017-0068
更新日期:2017-10-09 00:00:00
abstract::Hospital waiting lists are a feature of publicly funded health services that result when demand appears to exceed supply. While much has been written about surgical waiting lists, little is known about the dynamics of radiology waiting lists, which is surprising given that rational treatment, and indeed the medical pr...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260410548400
更新日期:2004-01-01 00:00:00
abstract::The World Health Organization (WHO) is a global organization that nowadays has integrated gender issues into its policy, programmes and budget. How then is the state of affairs in the area of gender equity at the ultimate governing bodies of the modern WHO? This study aims to assess the representation of women and men...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260410532074
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:The purpose of this paper is to investigate different types of patient involvement in Denmark, and to discuss the potential implications of pursuing several strategies for patient involvement simultaneously. DESIGN/METHODOLOGY/APPROACH:The paper presents a preliminary framework for analysis of patient involvem...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-01-2015-0002
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:This paper aims to explore hospital consultants' social identification, in terms of perceptions of their position in society, the salient targets for their social identification and how this appears to influence their perceptions of management activities and change. DESIGN/METHODOLOGY/APPROACH:A purposeful sam...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777261011054581
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:The following case study aims to explore management's, health professionals' and patients' experiences on the extent to which there is visibility of management support in achieving effective interdisciplinary team working, which is explicitly declared in the mission statement of a 60-bed acute rehabilitative ge...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-06-2012-0101
更新日期:2013-01-01 00:00:00
abstract::Purpose The purpose of this paper is to analyse hospital dashboards' visibility of information at different management levels to improve quality and performance in an acute general hospital. Design/methodology/approach Data were generated via 21 semi-structured interviews across different management levels. Findings A...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-11-2016-0229
更新日期:2017-04-10 00:00:00
abstract::Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustaina...
journal_title:Journal of health organization and management
pub_type: 杂志文章,评审
doi:10.1108/JHOM-10-2017-0275
更新日期:2018-05-21 00:00:00
abstract:PURPOSE:The purpose of this paper is to show how elements from queueing theory can be used to obtain objective measures of effective capacity in the triage function at Skaraborg Hospital in Sweden without direct observation of the function itself. DESIGN/METHODOLOGY/APPROACH:Approximately 30,000 patients arrived to th...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-05-2014-0074
更新日期:2016-01-01 00:00:00
abstract::The rise of evidence-based medicine and more recently evidence-based policy reflect the increasing importance of evidence as a basis for the organisation and delivery of health care. Evidence-based practice is central to the "modernisation" of health care in current UK policy. The latest manifestation of this process ...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260410560839
更新日期:2004-01-01 00:00:00
abstract:PURPOSE:The purpose of the paper is to explore the insights of experienced nurses regarding initiatives they believe would effectively retain nurses like themselves in the nursing profession. DESIGN/METHODOLOGY/APPROACH:As part of a qualitative investigation into the perceptions of nurses regarding issues affecting th...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/14777260710751762
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:The purpose of this paper is to investigate the relationship between hospital adoption and use of computed tomography (CT) scanners, and magnetic resonance imaging (MRI) machines and in-patient mortality and length of stay. DESIGN/METHODOLOGY/APPROACH:This study used panel data (2007-2010) from 124 hospital co...
journal_title:Journal of health organization and management
pub_type: 杂志文章
doi:10.1108/JHOM-08-2018-0232
更新日期:2019-05-20 00:00:00