Consuming passions.
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Community Participation↗
Biomedical subjects
C Pollitt
Publications and source records attributed to C Pollitt.
General management and medical autonomy in the National Health Service.
Clinical freedom is an elastic concept and its practical meaning to clinicians varies with time and context. Management pressure on clinical freedom is also likely to be elastic. Resource constraints are increasing pressure on clinical freedom. The paper reviews the nature of such pressure and considers the extent to which general managers have successfully eroded medical autonomy. Drawing on emerging evidence from research in progress on the impact of general management, the paper concludes that there is little sign of change in doctor-manager relations. They continue to inhabit a shared culture of medical autonomy in which only rarely do managers challenge clinicians.
Decision Making↗
The acquisition of temporal terms.
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Child, Preschool↗
Performance indicators. Can practice be made perfect?
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Health Services Accessibility↗
Performance indicators. The quality and the width.
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Management Audit↗
Corporate rationalization of American health care: a visitor's appraisal.
This paper uses elements of the macrotheory of advanced capitalist societies developed by Jurgen Habermas and other "critical theorists" to locate and explore the implications of the containing corporatization of the U.S. health care sector. It questions the often-dominant view that cost is the major problem of current U.S. arrangements, and shows how most recent government policies have reinforced the corporate rationalization of health care, or at least proved neutral towards it. Yet it can be argued that it is precisely this "rationalization" which renders more difficult both cost-control and the much-needed broadening of the agenda of the health care debate to important issues other than cost.
Cost Control↗