...John R. Kimberly Stimulated by a variety of external pressures, managerial innovation is likely to become more common in health care organizations. Relatively little is known, however, about the phenomenon. This paper develops a framework for the analysis of managerial innovation in health care...

...William J. Waters Books Reviews Helen J. Muller and Curtis Ventriss, Public Health in a Retrenchment Era: An Alternative to Managerialism (Albany: State University of New York Press, 1985), 162 pp., $10.95 Public Heulth in a Retrenchment Era: An Alternative...

..., adversarial), institutional power (fragmented versus centralized), and resources . An institutional framework further characterizes these approaches as based on models of managerial discretion and adjudication (United States), consultation (Canada), and bargaining (Britain, France) to clarify the patterns...

... that health care was ill suited to commercialization. There are similarities across all five countries in what has been adopted and rejected. Some market reforms are more legitimate than others. Reforms based on resolving principal-agent problems, including purchaser-provider splits and managerial reforms...

... the evolution of the typical home care provider toward greater organizational and market rationality. Greater managerial sophistication has introduced changes in management/labor relations. Survey data from the 1986 DRG Impact Study are used to show how the pressure of cost-containment policies has pushed...

...” of organizational politics, rather than treating them as constraints in an otherwise rational, managerial system. Copyright © 1983 by the Dept. of Health Administration, Duke University 1983 The Politics of Management in Health Care: A British Perspective Stuart C. Haywood...

... a gradual shift to “conditional and well managed universalism.” These latter principles stress the need to differentiate access to care according to some criterion to regulate demand and the need for efficient use of scarce resources through adequate valorization of managerial skills and the use of “market...

... decentralization as the central government’s assignment of new health policy and managerial responsibilities to both the state and municipal governments. Decentralization may include the center’s assignment of new fiscal and social-policy responsi- bilities, which may vary from a form of deconcentration...

... and instead develop more precise and neutral conceptual tools with which to evaluate specific changes in reimburse- ment methods, managerial techniques, and organizational forms. Medical Care and the Rise of “Corporatespeak” The management discussion of many of the major topics in modern med- ical care...

... to medi- cine’s future. And the third to which I want to draw attention is the appeal to managerial theory and jargon—from “integrated delivery systems” to information systems to organizational consolidation—as sources of res- olution for the tensions in modern medical care. Each development has its...

... and Hyperbole: The Rhetoric and Reality of Managerial Reform in Health Care. Journal of Health Services Research and Policy 3 ( 1 ): 62 -64. Okma, Kieke. G.H. Report of the First Four Country Conference of Health Policies and Health Care Reforms in the U.S., Canada, Germany, and the Netherlands. 1995...

... of health care threaten to jeopardize medicine’s authority and its viability as a profession. Underpinning Starr’s analysis is a three-way taxonomy of possible ways to organize the work of medicine: competitive markets, hierarchical sys- tems of managerial control, and what may be termed...

... a stronger counterforce to managerial efforts to influence their practices. Balance of power is also influenced by the presence or absence of biases in hospital bylaws regarding managerial influence over physician recruitment and governance; by financial link- ages between the hospital and its...

... appraising. He sorts out three dimensions of managed care and in so doing he presents an extremely useful and insightful schema for defining and comparing health plans on risk sharing, managerial control of clinical decisions, and limita- tions on a patient regarding choice of provider. It is hard...

... appraising. He sorts out three dimensions of managed care and in so doing he presents an extremely useful and insightful schema for defining and comparing health plans on risk sharing, managerial control of clinical decisions, and limita- tions on a patient regarding choice of provider. It is hard...

... forces at work in the system. As state rate-setters have found, “managerial” efforts to cut fat and waste in the system go only so far. Serious cost containment will entail an assault not merely on the profligacy of pro- viders, but also on the price of genuine medical progress. The forces...

...Deborah A. Savage © 2004 by Duke University Press 2004 Ames, Edward, and Nathan Rosenberg. 1965 . The Progressive Division and Specialization of Industries. Journal of Development Studies 1 (4): 363 -383. Chandler, Alfred D., Jr. 1977 . The Visible Hand: The Managerial Revolution...

... and autonomy. New public management (NPM) has many facets and embraces a num- ber of different reform components. It prescribes centralization and con- trol as well as decentralization and autonomy. There is thus a tension in NPM between the need for greater managerial fl exibility and discretion...

... to reduce the latitude of any serious managerial reforms. The main tool of management continues to be periodic reorganizations which realign the structure of policy and program without substantially influencing their content and quality. The HCFA reorganization, for example, left most...

... shifted away from priorities to a more immediate concern with cost (DHSS 1983a), from organizational integration to the pursuit of managerial solutions to health policy problems (Sheaff 1989). Later, however, first physicians and then government became interested in the role of primary care...