The Challenge to Change
There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful...
Сохранить в:
| Главный автор: | |
|---|---|
| Формат: | Online |
| Язык: | английский |
| Опубликовано: |
Cornell University Press
2022
|
| Предметы: | |
| Online-ссылка: | ONIX_20220802_9781501706028_21 |
| Метки: |
Нет меток, Требуется 1-ая метка записи!
|
| _version_ | 1869516214458384384 |
|---|---|
| author | Givan, Rebecca Kolins |
| author_browse | Givan, Rebecca Kolins |
| author_facet | Givan, Rebecca Kolins |
| author_sort | Givan, Rebecca Kolins |
| collection | Directory of Open Access Books |
| description | There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy.Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will be rewarded by positive transformation in a particular institution's day-to-day operation. Givan's in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy.Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment. |
| format | Online |
| id | doab-20.500.12854ir-90412 |
| institution | Directory of Open Access Books |
| language | eng |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Cornell University Press |
| publisherStr | Cornell University Press |
| record_format | ojs |
| spelling | doab-20.500.12854ir-904122024-03-31T22:45:36Z The Challenge to Change Givan, Rebecca Kolins Medicolegal issues thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBQ Medicolegal issues There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will rewarded by positive transformation in a particular institution’s day-to-day operation. Givan’s in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy.Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will be rewarded by positive transformation in a particular institution's day-to-day operation. Givan's in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy.Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment. 2022-08-02T09:16:45Z 2022-08-02T09:16:45Z 2016 book ONIX_20220802_9781501706028_21 9781501706028 https://directory.doabooks.org/handle/20.500.12854/90412 eng image/jpeg Attribution-NonCommercial-NoDerivatives 4.0 International https://muse.jhu.edu/book/47908 Cornell University Press 10.1353/book.47908 10.1353/book.47908 05937e7b-c222-4680-9580-c09c5ce7a11e 9781501706028 216 open access |
| spellingShingle | Medicolegal issues thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBQ Medicolegal issues Givan, Rebecca Kolins The Challenge to Change |
| title | The Challenge to Change |
| title_full | The Challenge to Change |
| title_fullStr | The Challenge to Change |
| title_full_unstemmed | The Challenge to Change |
| title_short | The Challenge to Change |
| title_sort | challenge to change |
| topic | Medicolegal issues thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBQ Medicolegal issues |
| topic_facet | Medicolegal issues thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBQ Medicolegal issues |
| url | ONIX_20220802_9781501706028_21 |
| work_keys_str_mv | AT givanrebeccakolins thechallengetochange AT givanrebeccakolins challengetochange |