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Competition to co‐operation in national health services: evidence of social and cultural effects as management issues
Author(s) -
Lemmer
Publication year - 1999
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1046/j.1365-2834.1999.00116.x
Subject(s) - context (archaeology) , public relations , competition (biology) , purchasing , service (business) , health care , health management system , business , nursing , sociology , medicine , marketing , political science , economics , alternative medicine , economic growth , paleontology , ecology , pathology , biology
Aims This review examines how the management of health and health services is affected by the context of historical, social and scientific developments. Background The paper was prepared for the author’s inaugural lecture as Professor of Health Services Research at Canterbury Christ Church University College. Methods The review had the benefit of being conducted during a 3‐year NHS research and development study of decision‐making in the nursing profession. A systematic literature review was conducted, yielding bibliographical data for analysis of health service issues. Conclusion There is a case for including management decisions on appropriate research measures in the health service. Another finding of this analysis is that the management of common needs‐based budgets, for example through co‐operative purchasing, is a way forward to reconfigure services and reallocate funds, in a context of anomalies and inequalities in health care.