Eylem Seç
Facing the future: A study of the changing pattern of contracting within a National Health Service Community Trust 1994-2001
Başlık:
Facing the future: A study of the changing pattern of contracting within a National Health Service Community Trust 1994-2001
Yazar:
Cowie, Alan, author.
ISBN:
9780438085251
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (362 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 76-08C.
Özet:
This study examines the policy formation processes involved in contracting for community health care services between 1994 and 2001. It is primarily focussed on the organisational development and operation of a community NHS trust and its relations with key contracting stakeholders which include a health authority, GP fund holders and primary care groups. The changes, opportunities and challenges to community health care services are explored in thematic and chronological sequence. Analyses of the organisational development and relationships are informed by the concepts of power, decision-making and new public management. Qualitative methods of data collection and analysis have been used to provide detail and depth to a picture of the pertinent issues. These include data from key respondent interviews and non-participant observations of key meetings and seminars, supported by documentary evidence from both published material in the public domain and internal documents from stakeholder organisations. Contrary to the policy rhetoric of moving resources from the hospital into the community, evident in national policy directives, the reality illuminated by this study, was that community health care services remained the 'poor relation' to the hospital in terms of service provision, staff and financial resources. Opportunities for the community trust to secure real change in the provision of community health services were limited, because of the interpretation and implementation of contracting by key stakeholders which blocked the aspirations of the community trust in becoming the dominant force in the local health care organisations. With the development of primary care groups in 1998 which have facilitated a locality focus to the commissioning of community health care services, traditional patterns of health care services became even more vulnerable. A commitment by the primary care groups to commission integrated health care services based on accurate health needs assessment and effective outcome measurement have led to a 'new order' within the local health community. In particular, because of the locality focus of primary care groups, they have made an important contribution to the commissioning process for community health services and are likely to be more successful in securing an NHS committed to community-based services than the old health authority systems.
Notlar:
School code: 1543
Tüzel Kişi Ek Girişi:
Mevcut:*
Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(686943.1) | 686943-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
On Order
Liste seç
Bunu varsayılan liste yap.
Öğeler başarıyla eklendi
Öğeler eklenirken hata oldu. Lütfen tekrar deneyiniz.
:
Select An Item
Data usage warning: You will receive one text message for each title you selected.
Standard text messaging rates apply.