title: Public management 'reform' narratives and the changing organisation of primary care.
abstract: This paper explores how different models of public management affect the changing organisation of primary care. It examines important non-clinical drivers of major organisational change. It uses the concept of a 'reform narrative' to connect public management reform ideas, political doctrines and their effects on primary care organisations. It outlines a set of possible models of public management and their application with primary care settings. It explores what might be the dominant reform ideas of the next decade.
authors.affiliation: Department of Management, Kings College London, UK.
authors.forename: Ewan
authors.initials: E
authors.lastname: Ferlie
keywords: healthcare politics; organisational change; primary care organisations; public management reforming