Titlebook: Organizing and Reorganizing; Power and Change in Lorna McKee,Ewan Ferlie,Paula Hyde Book 2008 Palgrave Macmillan, a division of Macmillan

ESPY

Medicine and Management in English Primary Care: A Shifting Balance of Power?,hree main ‘reforms’ of organizational and governance structures and many smaller alterations. This chapter explores how they have altered the balance of power between the two most powerful occupational groups, managers and doctors, and some implications for organizational theory.

北極熊

Petechiae

Hospital Sector Organisational Restructuring: Evidence of Its Futility,ganisational hierarchies or rationalising reporting arrangements (Brocklehurst 2001; Lathrop 1993; Relman 2005; Sen 2003). Proponents tend to argue that they will create through their restructuring efforts greater efficiency, i.e. more benefit for the same or less cost. Restructuring is typically sp

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Decentralization as a Means to Reorganize Health-Care in England: From Theory to Practice?,re-located within health-care systems (Pollitt 2005). This oscillating balance of power — a ‘perpetual struggle’ (Pollitt 2005) — involves the formation and dissolution of new organizational forms, the re-location of health-care managers and a commensurate shift in their roles and responsibilities.

Irrepressible

,Va Va Voom, Size Doesn’t Matter: Form and Function in the NHS,and D Programme of Research on Organizational Form and Function that addresses the relationship between organizational form and performance (Sheaff et al. 2004) using a meta-analysis of the literature. Readers are referred to the full report for a comprehensive coverage of all sections. This chapter

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Evidence-Based Management: The Power of Evidence or Evidence of Power?, all health care practice can, and should, be evidence-based — that is to say, practice should integrate individual clinical expertise ‘with the best available external clinical evidence from systematic research’ (Sackett et al. 1996:71). But whilst EBHC can ‘work’ — at least when work means (quite

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arsenal

Consensus

The Swampy Lowland: Using Hyperlinks to Navigate the Multiple Realities of Partnership,ch project ‘swampy ground’ uses a website to build and communicate many different layers of ‘truth’ within complex partnerships that aim to improve people’s lives, often people with little power. We use multi-voice research to gain ethical access to the perspectives of different actors in partnershi