Abstract:
BACKGROUND:Involving doctors in management has been intended as one of the strategies to spread organizational principles in healthcare settings. However, professionals often resist taking on relevant managerial responsibility, and the question concerning by which means to engage doctors in management in a manner that best fit the challenges encountered by different health systems remains open to debate. METHODS:This paper analyzes the different forms of medical management experienced over time in the Italian NHS, a relevant "lab" to study the evolution of the involvement of doctors in management, and provides a framework for disentangling different dimensions of medical management. RESULTS:We show how new means to engage frontline professionals in management spread, without deliberate planning, as a consequence of the innovations in service provision that are introduced to respond to the changes in the healthcare sector. CONCLUSIONS:This trend is promising because such means of performing medical management appear to be more easily compatible with professional logics; therefore, this could facilitate the engagement of a large proportion of professionals rather than the currently limited number of doctors who are "forced" or willing to take formal management roles.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Lega F,Sartirana Mdoi
10.1186/s12913-016-1394-6subject
Has Abstractpub_date
2016-05-24 00:00:00pages
170issn
1472-6963pii
10.1186/s12913-016-1394-6journal_volume
16 Suppl 2pub_type
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