The development of clinical management at an NHS Trust hospital. A case study example.
The article examines and comments on the development of clinical management at an NHS hospital Trust. It utilises a qualitative case study methodology to collect data from key stakeholders at this Trust. The data suggest some of the reasons why doctors may be receptive or non-receptive to the notion of clinical management. It recommends that attention is focused on the specialty context as a key factor in influencing the development of clinical management. It also suggests there may be other important factors, for example: training, the role of change agents; structure of clinical directorates; and individual factors such as cognition, attitudes and motivation.
Willcocks
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Department of Health Studies, University of Central Lancashire, Preston, UK.
D003284:Contract Services; D003659:Decision Making, Organizational; D006302:Health Services Research; D006779:Hospitals, Public / Q000458:organization & administration*; D008505:Medical Staff, Hospital / Q000458:organization & administration*; D008511:Medicine / Q000458:organization & administration; D019982:Organizational Case Studies; D015279:Organizational Culture; D009936:Organizational Innovation; D016134:Organizational Policy; D008486:Physician Executives; D011785:Quality Assurance, Health Care; D013038:Specialization; D013222:State Medicine; D006113:United Kingdom