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Healthcare managers, professionals and service users operate in an
increasingly complex environment in terms of policy, regulation and
governance arrangements. The policy process is becoming pluralised
as competing narratives are drawn upon to influence practice. A
wide range of contradictory and inconsistent policies are on offer
to healthcare stakeholders, which ultimately results in a broad
spectrum of responses, adaptations and improvisations throughout
the process of policy implementation. The impact on managerial and
professional practice is significant: Whilst some voices are
suppressed or ignored, the complex nature of contemporary policy
contexts can also help local actors exercise their agency and
advance their agenda. This edited volume investigates how
contemporary policy trends are influencing healthcare systems,
organisations and professions and explores the various ways in
which policy implementation could be enacted, resisted and
reinvented by healthcare managers and professionals on the ground.
It sheds light on the complex web of connections that exist between
policy development (Part I), its translation into practice (Part
II), and the activities of organisational leaders who are trying
their best to make sense of - and succeed in - challenging policy
contexts (Part III).
Medical Professionals: Conflicts and Quandaries in Medical Practice
offers a fresh approach to understanding the role-related conflicts
and quandaries that pervade contemporary medical practice. While a
focus on professional conflicts is not new in the literature, what
is missing is a volume that delves into medical professionals' own
experience of the conflicts and quandaries they face, often as a
result of inhabiting multiple roles. The volume explores the ways
in which these conflicts and quandaries are exacerbated by broader
societal forces, including changing scientific and technological
paradigms, commercialization, and strengthened consumer movements,
which simultaneously expand the scope of roles and responsibilities
that medical professionals are expected to fulfill, and make it
more difficult to do so. Several empirical chapters analyze data
from qualitative interview studies with clinicians and other
stakeholders. The studies highlight the burdens on clinicians who
are expected to make informed and justified judgments and decisions
in the midst of competing pressures; authors describe the methods
that clinicians use to address the associated tensions within
specific contexts. Two conceptual chapters follow and offer some
innovative ways to think about the challenges facing medical
professionals as they strive to make sense of the changing
landscape within healthcare. The first reflects on the challenges
to clinical practice in the midst of shifting and often competing
definitions of disease and associated ideologies of care. The
second reflects more broadly on the utility of value pluralism as a
framework for conceptualizing and working through moral and
professional quandaries. The book concludes with a chapter
containing suggestions for how members of the medical profession
might reframe their thinking about their roles, responsibilities,
and decision-making in the midst of inevitable quandaries such as
those presented here. This book will be of vital reading for
academics, researchers, educators, postgraduate students, and
interested health care practitioners and administrators.
Medical Professionals: Conflicts and Quandaries in Medical Practice
offers a fresh approach to understanding the role-related conflicts
and quandaries that pervade contemporary medical practice. While a
focus on professional conflicts is not new in the literature, what
is missing is a volume that delves into medical professionals' own
experience of the conflicts and quandaries they face, often as a
result of inhabiting multiple roles. The volume explores the ways
in which these conflicts and quandaries are exacerbated by broader
societal forces, including changing scientific and technological
paradigms, commercialization, and strengthened consumer movements,
which simultaneously expand the scope of roles and responsibilities
that medical professionals are expected to fulfill, and make it
more difficult to do so. Several empirical chapters analyze data
from qualitative interview studies with clinicians and other
stakeholders. The studies highlight the burdens on clinicians who
are expected to make informed and justified judgments and decisions
in the midst of competing pressures; authors describe the methods
that clinicians use to address the associated tensions within
specific contexts. Two conceptual chapters follow and offer some
innovative ways to think about the challenges facing medical
professionals as they strive to make sense of the changing
landscape within healthcare. The first reflects on the challenges
to clinical practice in the midst of shifting and often competing
definitions of disease and associated ideologies of care. The
second reflects more broadly on the utility of value pluralism as a
framework for conceptualizing and working through moral and
professional quandaries. The book concludes with a chapter
containing suggestions for how members of the medical profession
might reframe their thinking about their roles, responsibilities,
and decision-making in the midst of inevitable quandaries such as
those presented here. This book will be of vital reading for
academics, researchers, educators, postgraduate students, and
interested health care practitioners and administrators.
Healthcare managers, professionals and service users operate in an
increasingly complex environment in terms of policy, regulation and
governance arrangements. The policy process is becoming pluralised
as competing narratives are drawn upon to influence practice. A
wide range of contradictory and inconsistent policies are on offer
to healthcare stakeholders, which ultimately results in a broad
spectrum of responses, adaptations and improvisations throughout
the process of policy implementation. The impact on managerial and
professional practice is significant: Whilst some voices are
suppressed or ignored, the complex nature of contemporary policy
contexts can also help local actors exercise their agency and
advance their agenda. This edited volume investigates how
contemporary policy trends are influencing healthcare systems,
organisations and professions and explores the various ways in
which policy implementation could be enacted, resisted and
reinvented by healthcare managers and professionals on the ground.
It sheds light on the complex web of connections that exist between
policy development (Part I), its translation into practice (Part
II), and the activities of organisational leaders who are trying
their best to make sense of - and succeed in - challenging policy
contexts (Part III).
This Handbook provides an authoritative overview of current issues
and debates in the field of health care management. It contains
over twenty chapters from well-known and eminent academic authors,
who were carefully selected for their expertise and asked to
provide a broad and critical overview of developments in their
particular topic area. The development of an international
perspective and body of knowledge is a key feature of the book. The
Handbook secondly makes a case for bringing back a social science
perspective into the study of the field of health care management.
It therefore contains a number of contrasting and theoretically
orientated chapters (e.g. on institutionalism; critical management
studies). This social science based approach is a refreshing
alternative to much existing work in this domain and offers a good
way into current academic debates in this field. The Handbook
thirdly explores a variety of important policy and organizational
developments apparent within the current health care field (e.g.
new organizational forms; growth of management consulting in health
care organizations). It therefore explores and comments on major
contemporary trends apparent in the practice field.
This Handbook provides an authoritative overview of current issues
and debates in the field of health care management. It contains
over twenty chapters from well-known and eminent academic authors,
who were carefully selected for their expertise and asked to
provide a broad and critical overview of developments in their
particular topic area. The development of an international
perspective and body of knowledge is a key feature of the book. The
Handbook secondly makes a case for bringing back a social science
perspective into the study of the field of health care management.
It therefore contains a number of contrasting and theoretically
orientated chapters (e.g. on institutionalism; critical management
studies). This social science based approach is a refreshing
alternative to much existing work in this domain and offers a good
way into current academic debates in this field. The Handbook
thirdly explores a variety of important policy and organizational
developments apparent within the current health care field (e.g.
new organizational forms; growth of management consulting in health
care organizations). It therefore explores and comments on major
contemporary trends apparent in the practice field.
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