Economism, Managerialism and Health Care

Hicks, Neville

doi:10.5172/hesr.1995.5.1.39

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…The temporal and spatial distancing of the 'health reform' debates from the site of service delivery is further enhanced by the fact that the Australian Government's health agenda reflects the direction of international reform in Europe and the United States. [9][10][11] Another symbolic exclusion of practitioners from the process of reform occurs in that the operational control point for the implementation of reform is vested with executive and middle management 12 and separated from the site of care delivery where health professionals practise and reform is targeted. The leverage for these economic reforms is focused through layers of corporate or middle management, its aim being to rationally control the work site of care delivery.…”

Section: F E a T U R Ementioning

confidence: 99%

Reform in public health: where does it take nursing?

Gibb

1998

Nursing Inquiry

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The Australian healthcare system is undergoing changes that are impacting tangibly on professional nursing practice. While the evidence is clear that the changes pose a challenge to maintaining standards amidst resource cuts and restructuring, the processes through which these changes occur and the decisions which drive the reforms remain complex and largely obscure. This paper intends to stimulate further thinking and debate among nurses about the effects of these reforms on the conduct of practice, both in terms of our emerging discipline and our ability to conduct clinical nursing practice. It offers a way of understanding the policy 'reform' process through an application of policy analysis grounded in critical social theory. The discussion sets out to apply these analytical propositions to specific events that constitute examples of change in the nursing workplace, and to focus on the implications for nurses and health service clientele.

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Section: F E a T U R Ementioning

confidence: 99%