haku: @author Buchanan, D. (et al) / yhteensä: 1
viite: 1 / 1
« edellinen | seuraava »
| Tekijä: | Buchanan, D. (et al) |
| Otsikko: | Let's be PALS: user-driven organizational change in healthcare |
| Lehti: | British Journal of Management
2006 : DEC, VOL 16:4, p. 315-328 |
| Asiasana: | organizational change health health service case studies |
| Kieli: | eng |
| Tiivistelmä: | This article examines user-driven organizational change in the National Health Service (NHS). The NHS Plan created Patient Advice and Liaison Services (PALS) to provide information, solve problems and drive user-led change. The study makes two conclusions. First, organizational instability, boundary disputes, variable management support, resource limitations, financial insecurity and multi-site working characterize the context in which PALS operate, and the officer role is characterized by problem diversity, overlap with complaints systems, monitoring problems, relationship building and 'serial users'. Second, these situation and role attributes restrict PALS to 'repair and maintenance', ensuring that established systems work correctly. A processual perspective illustrates how a fluid, networked, and diversified context isolates PALS structures from management decision-making, constraining their power base, and inhibiting the promotion of substantive change agendas. |
« edellinen | seuraava »
SCIMA