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Deconstructing the Welfare State: Managing Healthcare in the Age of Reform

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by Paula Hyde & Edward Granter & John Hassard
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Deconstructing the Welfare State: Managing Healthcare in the Age of Reform by Paula Hyde & Edward Granter & John Hassard

Who are NHS middle managers? What do they do, and why and how do they do it'?

This book explores the daily realities of working life for middle managers in the UK's National Health Service during a time of radical change and disruption to the entire edifice of publicly-funded healthcare. It is an empirical critique of the movement towards a healthcare model based around HMO-type providers such as Kaiser Permanente and United Health.  Although this model is well-known internationally, many believe it to be financially and ethically questionable, and often far from 'best practice' when it comes to patient care.

Drawing on immersive ethnographic research based on four case studies - an Acute Hospital Trust, an Ambulance Trust, a Mental Health Trust, and a Primary Care Trust - this book provides an in-depth critical appraisal of the everyday experiences of a range of managers working in the NHS. It describes exactly what NHS managers do and explains how their roles are changing and the types of challenges they face. The analysis explains how many NHS junior and middle managers are themselves clinicians to some extent, with hybrid roles as simultaneously nurse and manager, midwife and manager, or paramedic and manager. While commonly working in 'back office' functions, NHS middle managers are also just as likely to be working very close to or actually on the front lines of patient care. Despite the problems they regularly face from organizational restructuring, cost control and demands for accountability, the authors demonstrate that NHS managers - in their various guises - play critical, yet undervalued, institutional roles.

Depicting the darker sides of organizational change, this text is a sociological exploration of the daily struggle for work dignity of a complex, widely denigrated, and largely misunderstood group of public servants trying to do their best under extremely trying circumstances. It is essential reading for academics, students, and practitioners interested in health management and policy, organisational change, public sector management, and the NHS more broadly.To view this DRM protected ebook on your desktop or laptop you will need to have Adobe Digital Editions installed. It is a free software. We also strongly recommend that you sign up for an AdobeID at the Adobe website. For more details please see FAQ 1&2. To view this ebook on an iPhone, iPad or Android mobile device you will need the Adobe Digital Editions app, or BlueFire Reader or Txtr app. These are free, too. For more details see this article.

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Ebook Details
Pages: 226
Size: 6.4 MB
Publisher: Routledge
Date published:   2016
ISBN: 9781317661351 (DRM-EPUB)
9781317661368 (DRM-PDF)

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This product is listed in the following categories:

Nonfiction > Business & Economics > Management
Nonfiction > Business & Economics > Organizational Behavior
Nonfiction > Medical > Administration

These authors have products in the following categories:

Nonfiction > Business & Economics > Economics
Nonfiction > Social Science > Sociology
Nonfiction > Social Science
Nonfiction > Business & Economics > Organizational Behavior
Nonfiction > Business & Economics > Economics > Theory
Nonfiction > Business & Economics > Organizational Development
Nonfiction > Social Science > Anthropology > Cultural
Nonfiction > Business & Economics
Nonfiction > Business & Economics > Leadership
Nonfiction > Business & Economics > Management
Nonfiction > Medical > Administration

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