Intended for healthcare professionals

Views And Reviews

Reinventing Government

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6938.1247a (Published 07 May 1994) Cite this as: BMJ 1994;308:1247
  1. P Walker

    David Osborne,Ted Gaebler Addison-Wesley,$22.95,pp 405 ISBN 0-201-52394-9

    It is difficult to believe that 100 years ago the word bureaucracy had a positive connotation. Bureaucracies were perceived as bringing the same logic to government work that the assembly line had brought to the factory floor. With their hierarchical authority and functional specialisation, they made possible the efficient execution of large complex tasks. The monolithic character of the bureaucratic organisation and its very inflexibility seemed to guarantee financial probity, reliability, and freedom from political manipulation - seemingly ideal attributes for …

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