Journal of Management in Medicine: Volume 8 Issue 1

Purchasing and Public Health: The State of the Union

Ian S. Watt, Nick Freemantle, James Mason

The purchasing role of health authorities has been in existence for twoyears and public health physicians are expected to play a central partwithin this role. While the first year…

Competing for Patients: Understanding Consumer Evaluation of Primary Care

Mark Gabbott, Gillian Hogg

The introduction of a competitive market into primary care means thatgeneral practitioners must consider the way in which their patientsevaluate the service which they receive…

Public Health Medicine and the District Health Authority

Paul Watson

The 1991 National Health service reforms have greatly changed the roleof district health authorities. These bodies employ most public healthphysicians in England and thus the…

Creative Problem‐solving Techniques: Relevance to Doctors in Management?

Romesh C. Gupta, Peter Labbett

Recent NHS reforms have had a profound impact on the role of cliniciansin the field of management. Traditionally this has been a role eschewedby clinicians, but the evolution of…

Out‐patient Case Mix: A Survey of User Requirements

Paul McNamee, Allen Hutchinson, David Parkin, Eugene Milne, Nick Steen

Research and development of out‐patient case mix systems, to plan andmonitor resource use in the out‐patient sector, has hitherto not beenaccorded priority in the NHS. As part of…

Beyond the Business Plan

James Harrison, David Thompson, Hugh Flanagan, Peter Tonks

Acknowledges that business planning in the NHS frequently disappoints.Reasons for this are found in the tendency for managers to view theproduction of a plan as an end rather than…

Occupational Health Provision for NHS Staff: Users’ Opinions about Its Roles

Z. Amir

In 1990, 682 staff (61 per cent response without reminder) employed by17 districts in the North Western Health Authority were surveyed todiscover both their awareness of the…

Prioritizing Services: GPs′ Views, Fundholders versus Non‐fundholders

Philip J. Ayres

Aims to assess the level of agreement between priorities of serviceprovision in 20 discrete clinical areas, as laid out in a districthealth authority (DHA) purchasing plan, and…

Hospital Management in the 1990s: Fundholding Consultants?

Olusola O.A. Oni

Explores a model of clinical management which attempts to cope with themanagement‐professional conflict and seeks to enable the hospital to runeffectively and efficiently. Two key…