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

Degeling, P.; Maxwell, S.; Kennedy, J.; Coyle, B.

doi:10.1136/bmj.326.7390.649

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

Degeling, P.; Maxwell, S.; Kennedy, J.; Coyle, B.

Authors

P. Degeling

S. Maxwell

J. Kennedy

B. Coyle

Abstract

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.

Citation

Degeling, P., Maxwell, S., Kennedy, J., & Coyle, B. (2003). Medicine, management, and modernisation: a “danse macabre”?. eBMJ (London), 326(7390), 649-652. https://doi.org/10.1136/bmj.326.7390.649

Journal Article Type	Article
Publication Date	Mar 22, 2003
Deposit Date	May 9, 2007
Publicly Available Date	Nov 10, 2009
Journal	British medical journal (Clinical research edition)
Electronic ISSN	1468-5833
Publisher	BMJ Publishing Group
Peer Reviewed	Peer Reviewed
Volume	326
Issue	7390
Pages	649-652
DOI	https://doi.org/10.1136/bmj.326.7390.649