| Assessing strategic behaviour within the acute sector of the National Health Service. | |
| | |
MedLine Citation:
|
PMID: 10140628 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The creation of the internal market has merely been the latest progression in the change processes confronting the NHS over recent years as the UK Government searches for new ways of expanding patient output while concurrently restricting provision of additional financial resources. To assist in the implementation of change, acute sector providers have introduced managerial concepts from the private sector such as strategic planning. It is not clear, however, whether these techniques are appropriate or effective in the management of health-care services. A survey was undertaken to gain the perspectives of middle managers in acute units on the degree to which senior management involves them in determining performance goals and strategic plans. Results indicate that in most units, the orientation of senior management is to retain control over key issues associated with strategic planning and to minimize the degree to which the workforce is involved in any decision-making processes. Reviewing these results relative to the service-sector management theories concerning the options of industrializing or employee empowerment strategies indicates that senior management in the acute sector is operating a production-line service output philosophy. Although this orientation may meet the immediate needs of the UK Government, a review of how this strategic philosophy has severely weakened Western firms' position in world markets provides a basis for examining whether greater economic advantages might accrue to Britain by redirecting the management of change in the NHS towards a strategic philosophy based on employee empowerment. |
| | |
Authors:
|
I Chaston |
Related Documents
:
|
10303548 - The concept of critical success factors (csfs) as a planning tool for healthcare managers. 15635138 - Survey of emergency medicine resident debt status and financial planning preparedness. 10287218 - In pursuit of survival: managing revenues. 11051448 - Dermatology practice management assures practice development and efficiency. 15321228 - Epidural anaesthesia and neural tube defects. 11766178 - Cervical vascular injuries: carotid and jugular venous injuries. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of management in medicine Volume: 8 ISSN: 0268-9235 ISO Abbreviation: J Manag Med Publication Date: 1994 |
Date Detail:
|
Created Date: 1995-04-18 Completed Date: 1995-04-18 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8705942 Medline TA: J Manag Med Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 58-67 Citation Subset: H |
Affiliation:
|
Plymouth Business School, University of Plymouth. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Attitude of Health Personnel* Cost-Benefit Analysis Decision Making, Organizational* Economic Competition Feedback Great Britain Health Services Research Hospital Administrators / psychology*, statistics & numerical data Humans Organizational Objectives Power (Psychology) Privatization Public Sector State Medicine / economics, organization & administration* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Formal and informal authority of hospital directors.
Next Document: Which "internal market"?