Journal of Management in Medicine: Volume 4 Issue 3

Adversarial behaviour — the scourge of the Health Service

One of Sir Michael Edwards' cardinal rules of good management is that no organisation can be successful if it tolerates internal politics. Manifestly one of the features of the UK…

Interview: Dr Alexander W. Macara

The Chairman of the Representative Body of the British Medical Association, Dr Alexander Macara, is Consultant Senior Lecturer in Community Medicine (Public Health Medicine)…

A Constitutional Framework for Ethical Review Committees

Geoffrey Hunt

Ethical committees which review medical research need consitutions to help ensure continuity, clarity and consistency of purpose, and moral soundness. An adequate constitution…

Trading for Health Services: Lessons from the Competitive Tendering Experience

Stephen Bach

The UK Government's White Paper lias met with mixed reactions partly created by the imprecision of the proposals. However, there is a precedent for contracts as, since 1983…

General Practice Budgets — Opportunities and Responsibilities

Adrian Bull

This paper supports the desire of the UK Government to introduce to the National Health Service the concept of accountability for expenditure. General practice budgets will, for…

Supporting Frail Elderly People at Home Comparative Study of Two Domiciliary Care Services

M. Stone, A. Barton, O. Coles, M. Dodds, J. Smith

This study compares and contrasts the clients of two domiciliary care services delivered to elderly people in Darlington, Durham, UK, in terms of their living circumstances…

On Introducing Medical Audit

Jason Brice

Audit means many things to different doctors and managers. Formal clinical audit, involving the setting of clinical standards and peer review of the performance of clinicians, is…

Teaching Health Economics in Medical School: Experiences and Observations from the US

Leonard G. Schifrin

Michael F. Drummond, in a recent paper in this Journal, has pointed out the usefulness and even necessity of physicians in clinical practice understanding certain key concepts of…

Drug Innovation, Cost‐effectiveness and Management: The Case of Erythropoietin

V. Standing, J. Walsworth‐Bell, D. Allen, A. Haycox, P. Ackrill, R. Gokal, J. Twomey

Advances in recombinant drug technology will impose pressure for swift action by decision‐makers who may be required to operate on the basis of very limited information. This…

Acheson and the General Manager

Margaret Goose

A District General Manager offers some thoughts on the implementation of the Acheson Report and challenges community medicine specialists to be realistic about deployment of their…

Health Care in the USSR

Sue Mortimer

In May 1989 a party of 11 senior UK health service managers visited a number of health care facilities in the USSR. The party urns drawn from all levels within the National Health…

Medical Negligence — 1

Diana M.R. Tribe, Gill Korgaonkar

This, the first of three papers, provides an overview of the law of negligence as it affects medical practitioners in the UK. The standard of care owed by doctors to patients is…

Making a Success of a Large Medical Conference

F. Eskin

To be successful a conference must satisfy the needs of both organisers and participants — as well as giving value for money to the funding bodies — and lead ultimately to…