How to absorb the reforms without changing your core values

BMJ 1994; 308 doi: (Published 26 March 1994) Cite this as: BMJ 1994;308:812
  1. Jane Smith

    Contrary to what politicians think, the opposition of doctors to government reforms (see p 000) may not be due to an objection to relinquishing power. A more enlightening explanation is that it owes more to their desire to protect their core values against the onslaught of an untested economic model of public services.

    This explanation comes from an analysis of the effects of changes in public sector management on general practices and schools by two researchers from the University of Sheffield Management School. At a King's Fund seminar in London last week Richard Laughlin and Jane Broadbent (both accountants turned sociologists) outlined their findings from six general practices.

    Laughlin and Broadbent see the NHS reforms as part of the “financial management initiative” that the British government has been attempting since the early 1980s. …

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