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Clinicians and the governance of hospitals : a cross-cultural perspective on relations between profession and management.

Degeling, P. and Zhang, K. and Coyle, B. and Xu, L. and Meng, Q. and Qu, J. and Hill, M. (2006) 'Clinicians and the governance of hospitals : a cross-cultural perspective on relations between profession and management.', Social Science & Medicine., 63 (3). pp. 757-775.


This paper explores similarities and differences in the value stances of clinicians and hospital managers in Australia, England, New Zealand and China, and provides some new insights into how we theorise about the health profession and its relations with management. The paper draws on data derived from a closed-ended questionnaire administered to 2637 hospital-based medical, nursing and managerial staff. We examine variations between the countries in the value orientations of doctors, nurses and managers by considering their assessments of issues that are the focus of reform. In particular, we examine the ways in which the Chinese findings differ from those of the other countries. Whereas the results from the Commonwealth hospitals showed a marked division between clinicians and managers about issues that can affect clinical autonomy, this was not the case in the Chinese hospitals. The concluding discussion traces these differences to a number of cultural, organisational and policy-based factors. The implications of our findings on how we conceive the relationship between professionals and organisations are then discussed, as are further lines of research.

Item Type:Article
Keywords:Hospital reform, China, Commonwealth countries, Profession-based subculture, Autonomy, Management.
Full text:Full text not available from this repository.
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Record Created:11 Feb 2009
Last Modified:29 Jan 2010 14:36

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