title: The politics of public sector change.
abstract: BACKGROUND
  As the changes underpinning the Coordinated Care Trials in South Australia have become more apparent, similarities have emerged between the rationalisation of public schooling in the mid 1980s and the transformation of public health in the 1990s.
  
  
  OBJECTIVE
  This article aims to discuss the evolution of health services in South Australia and help us answer the question of how best to manage our public and private health infrastructure in a changing economic and social context.
  
  
  CONCLUSIONS
  Both strategies in education and health share common elements of cost cutting, attempts at improving efficiencies, a flirting with the private sector and the attendant risk of reduced quality of services to the public. This situation in both sectors is indicative of a shift in public policy and a growth in the belief that private management of public sector infrastructure can help resolve the funding crises around our education and health systems.
authors.affiliation: Spencer Gulf Rural Health School, South Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Harvey
mesh_terms: D019981:Health Care Sector / Q000458:organization & administration*; D006801:Humans; D011057:Politics; D017150:Public Sector / Q000458:organization & administration*; D013021:South Australia