A management-control system to assist with the development, contracting, and monitoring of new services for older people: you can always get what you want (with apologies to the Rolling Stones).

A management-control system to assist with the development, contracting, and monitoring of new services for older people: you can always get what you want (with apologies to the Rolling Stones).

MedLine Citation:	PMID: 17986595 Owner: NLM Status: MEDLINE
Abstract/OtherAbstract:	Implementing community services can be a very complex process where people end up "not seeing the wood for the trees" and then accepting a compromise nobody wants. Neither agency theory nor stewardship theory is particularly robust when explaining the reality that funders and managers of community health service for older people face in managing contracts. There are particular difficulties with goal divergence between policy directives and implementation practices, which result from goals not being well understood and performance requirements being ambiguously defined and infrequently monitored. This leads to accountability issues for public managers, and raises efficiency and effectiveness issues. This paper provides an interim report on a project developing a management-control system to provide a process for health planners and funders to use when developing and contracting services. A major focus is inviting stakeholders into a process of communication that ensures that they have shared understandings of where they want to get to, and what has to be done to get there.

Authors:	Stephen Jacobs
Related Documents :	9644405 - Interactive televideo and the internet in rural case management. 15185625 - Translational barriers and their effect upon cardiovascular revenues and reimbursement. 7704365 - Ethical health care management: is it possible? 9856005 - Mental health services--maintaining strategic direction. 16881245 - Evaluating the effectiveness of a consumer-provided mental health recovery education pr... 12171285 - Online support for caregivers of people with a mental illness.
Publication Detail:	Type: Journal Article; Review
Journal Detail:	Title: Annals of the New York Academy of Sciences Volume: 1114 ISSN: 0077-8923 ISO Abbreviation: Ann. N. Y. Acad. Sci. Publication Date: 2007 Oct
Date Detail:	Created Date: 2007-11-07 Completed Date: 2008-01-04 Revised Date: -
Medline Journal Info:	Nlm Unique ID: 7506858 Medline TA: Ann N Y Acad Sci Country: United States
Other Details:	Languages: eng Pagination: 343-54 Citation Subset: IM
Affiliation:	Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand. jacobs.sp@gmail.com
Export Citation:	APA/MLA Format Download EndNote Download BibTex
MeSH Terms
Descriptor/Qualifier:	Aging* Community Health Services / economics, manpower, organization & administration* Health Planning / economics, organization & administration* Humans Models, Organizational New Zealand Public Health Administration* / economics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document: Well for life: a way of life.
Next Document: The new caring: financial asset management and older people.