Mediating the Cultural Boundaries between Medicine, Nursing and Management—the Central Challenge in Hospital Reform

1 February 2001

journal article
research article
Published by SAGE Publications in Health Services Management Research

Vol. 14 (1) , 36-48
https://doi.org/10.1177/095148480101400105

Abstract

This paper documents the resilience of medical and nursing profession-based subcultures and the extent of the differences between them. Against this background, we assess the capacity and willingness of medical and nursing managers to promote changes that will extend the accountability of clinicians and engender more evidence-based, financially driven and output-oriented approaches to service delivery.

Keywords

This publication has 7 references indexed in Scilit:

Looking forward: Clinical governance and the drive for quality improvement in the new NHS in England
BMJ, 1998
Fortnightly Review: How to ensure that guidelines are effective
BMJ, 1995
Unrecognised Structural Implications of Casemix Management
Health Services Management Research, 1994
Interrogating an accounting-based intervention on three axes: Instrumental, moral and aesthetic
Accounting, Organizations and Society, 1993
Practice Guidelines and Standards: An Overview
QRB - Quality Review Bulletin, 1990
Do Practice Guidelines Guide Practice?
New England Journal of Medicine, 1989
THE RELUCTANT MANAGERS: CLINICIANS AND BUDGETS IN THE NHS
Financial Accountability & Management, 1988