Table of contents
Pushing for partnership: physician engagement and resistance in primary care renewal
Sara A. Kreindler, Ashley Struthers, Colleen J. Metge, Catherine Charette, Karen Harlos, Paul Beaudin, Sunita B. Bapuji, Ingrid Botting, Jose FrancoisHealthcare policymakers and managers struggle to engage private physicians, who tend to view themselves as independent of the system, in new models of primary care. The purpose of…
Lean maturity and quality in primary care
Monica Kaltenbrunner, Svend Erik Mathiassen, Lars Bengtsson, Maria EngströmThe purpose of this paper is twofold: first, to describe Lean maturity in primary care using a questionnaire based on Liker’s description of Lean, complemented with observations;…
Factors influencing inbound medical travel to India
Anita Medhekar, Ho Yin Wong, John Edward HallThe purpose of this paper is to explore the demand-side factors that influence the inbound medical tourists’ (MTs) decision to travel abroad for medical treatment/surgery.
Hybrid clinical-managers in Kenyan hospitals: Navigating between professional, official and practical norms
Jacinta Nzinga, Gerry McGivern, Mike EnglishThe purpose of this paper is to explore the way “hybrid” clinical managers in Kenyan public hospitals interpret and enact hybrid clinical managerial roles in complex healthcare…
Devolving healthcare services redesign to local clinical leaders: does it work in practice?
John Storey, Richard Holti, Jean Hartley, Martin MarshallThe purpose of this paper is to present the findings arising from a three year research project which investigated a major system-wide change in the design of the NHS in England…
Organizational constraints as root causes of role conflict: The situation of physician-managers and their responses
Marie-Hélène Gilbert, Julie Dextras-Gauthier, Pierre-Sébastien Fournier, André Côté, Isabelle Auclair, Mouna KnaniThe purpose of this paper is to gain a better understanding of the difficulties encountered in the hybrid roles of physician−managers (P−Ms), examine the impact of organizational…
Healthcare scandals and the failings of doctors: Do official inquiries hold the profession to account?
Russell Mannion, Huw Davies, Martin Powell, John Blenkinsopp, Ross Millar, Jean McHale, Nick SnowdenThe purpose of this paper is to explore whether official inquiries are an effective method for holding the medical profession to account for failings in the quality and safety of…
The making and sustaining of leaders in health care
Terry J. Boyle, Kieran MervynMany nations are focussing on health care’s Triple Aim (quality, overall community health and reduced cost) with only moderate success. Traditional leadership learning programmes…
