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Medicine, management, and modernisation : a “danse macabre”?

Degeling, P. and Maxwell, S. and Kennedy, J. and Coyle, B. (2003) 'Medicine, management, and modernisation : a “danse macabre”?', British medical journal., 326 (7390). pp. 649-652.


To break their destructive antagonism over issues of health service modernisation, doctors and managers should engage more directly with nursing and allied health professionals when responding to reform initiatives Edwards and Marshall have recently called for constructive dialogue to replace the mutual suspicion between doctors and managers.1 They suggest that the recent tensions over the negotiation of the new UK consultant contract should be seen as part of a “deeper problem [with] a long history.” They propose that doctors' and managers' very different approaches to issues such as accountability, use of guidelines, and finance are the result of each discipline's training, beliefs, and experiences. Finally, they suggest that, left unresolved, these differences have the potential to threaten individual institutions and perhaps even the future of the NHS.

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Record Created:09 May 2007
Last Modified:31 Jul 2015 12:59

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