Clinicians and the Governance of Hospitals : A Cross Cultural Perspective on Relations Between Profession and Management  

Oleh:

Degeling, Pieter ; Zhang, Kai ; Coyle, Barbara ; Lingzhong Xu ; Qingyue, Meng ; Jiangbin, Qu ; Hill, Michael

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 3 (Aug. 2006), page 757-775.
Topik: HOSPITAL; hospital reform; china; commonwealth countries; profession based subculture; autonomy; management

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This paper explores similarities and differences in the value stances of clinicans and hospital managers in autralia, england, new zealand and china, and provides some new insights into how we theorise about the health profession and its relations with management. The paper draws on data derived from a closed ended questionnaire administered to 2637 hospital based medical, nursing and managerial staff. We examine variations between the countries in the value orientations of doctors, nurses and managers by considering their assessments of issue that are the focus of reform. In particular, we examine the ways in which the chinese findings differ from those of the other countries. Whereas the results from the commonwealth hospitals showed a marked division between clinicians and managers about issues that can affect clinical autonomy, this was not the case in the chinese hospitals. The concluding discussion traces these differences to a number of cultural, organisational and policy absed factors. The implications of our findings on how we conceive the relationship between professionals and organisations are then discussed, as are further lines of research.

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