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...
Saved in:
| Main Author: | |
|---|---|
| Format: | Online |
| Language: | English |
| Published: |
Cornell University Press
2023
|
| Subjects: | |
| Online Access: | ONIX_20230329_9781501706028_135 |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1869514148870619136 |
|---|---|
| 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. |
| format | Online |
| id | doab-20.500.12854ir-99437 |
| institution | Directory of Open Access Books |
| language | eng |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Cornell University Press |
| publisherStr | Cornell University Press |
| record_format | ojs |
| spelling | doab-20.500.12854ir-994372025-07-17T12:15:26Z The Challenge to Change Givan, Rebecca Kolins Medicolegal issues History of the Americas European history thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services 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. 2023-04-18T11:05:32Z 2023-04-18T11:05:32Z 2023-03-29T15:51:24Z 2016 book ONIX_20230329_9781501706028_135 https://library.oapen.org/handle/20.500.12657/62150 9781501706028 9781501706578 9780801450051 https://directory.doabooks.org/handle/20.500.12854/99437 eng open access image/jpeg image/jpeg Attribution-NonCommercial-NoDerivatives 4.0 International Attribution-NonCommercial-NoDerivatives 4.0 International https://library.oapen.org/bitstream/20.500.12657/62150/1/9781501706028.pdf https://library.oapen.org/bitstream/20.500.12657/62150/1/9781501706028.pdf Cornell University Press ILR Press 10.7298/12eq-et41 10.7298/12eq-et41 05937e7b-c222-4680-9580-c09c5ce7a11e National Endowment for the Humanities 0314e571-4102-4526-b014-3ed8f2d6750a 9781501706028 9781501706578 9780801450051 ILR Press 216 Ithaca [...] CARES open access |
| spellingShingle | Medicolegal issues History of the Americas European history thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services 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 History of the Americas European history thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services |
| topic_facet | Medicolegal issues History of the Americas European history thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBP Health systems and services |
| url | ONIX_20230329_9781501706028_135 |
| work_keys_str_mv | AT givanrebeccakolins thechallengetochange AT givanrebeccakolins challengetochange |