{"product_id":"the-dilemma-of-health-reform-von-roslyn-sorensen","title":"The Dilemma of Health Reform","description":"\u003cp\u003ePoor performance is pressuring hospitals worldwide  to reform, but the process of reform is contested,  uneven and slow.  Reform often fails to address the  core business of hospitals: managing clinical work,  and stakeholders can limit opportunities for  collaborative problem solving as they seek to impose  their own frame of reference in the struggle for  control. This book is based on research into  performance in 12 public hospitals in Australia and  its relation to organisational culture.  Hospitals  with inclusive strategies for change, principally  strategies of agreement, joint education and skills  development, team-based incentives to direct and  reward effort and a method to manage clinical work  performed better than those without.  Cost  containment and patient safety dominated as policy  objectives but these alone did not engage clinician  interest or address service quality.  Service  systems necessary to support reform  were not present in the majority of hospitals  studied.  Research results are used to develop an  organisational model of clinical work management to  improve health service cost-effectiveness.\u003c\/p\u003e\u003cdiv class=\"aw-variant-hidden-subtitle-div\" id=\"aw-variant-subtitle-9783838369242\"\u003e\u003ch3\u003eManaging the limits of policymaking, managerialism and professionalism in health care reform\u003c\/h3\u003e\u003c\/div\u003e","brand":"Autorenwelt Shop","offers":[{"title":"Softcover - 9783838369242","offer_id":39469277151325,"sku":"9783838369242","price":79.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0940\/0622\/files\/57f6c27d-a785-461e-a12b-574b14978e00.jpg?v=1768976063","url":"https:\/\/shop.autorenwelt.de\/products\/the-dilemma-of-health-reform-von-roslyn-sorensen","provider":"Autorenwelt Shop","version":"1.0","type":"link"}