Professional Power and Managerial Control
The Case of GP Assessments of the Over‐75S
Bibliographic Data
| ID | 11196309 |
|---|---|
| Authors | Caroline Glendinning (corresponding author), Carolyn Chew, David Wilkin (0000-0003-0083-9909) |
| Year | 1994 |
| Volume | 28 |
| Issue | 4 |
| Pages | 317-332 |
| Publication date | 1994-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Policy and Administration (JOURNAL) |
| Journal identifiers | ISSN: 0144-5596 • E-ISSN: 1467-9515 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1467-9515.1994.tb00449.x |
| OpenAlex | W2031965106 |
| Language | EN |
| Citations received | 1 |
| References cited | 7 |
The creation of Family Health Services Authorities from the old Family Practitioner Committees in 1990 marked a turning point in the introduction of managerialism into primary health care services. One of the FHSAs' first responsibilities was the administration of a new Contract for General Practitioners, which had generated considerable opposition from within the profession. This Contract included a new requirement for GPs to make, each year, a written offer of a health check, at home, to all patients aged 75 and over. Particular scepticism was expressed by GPs about the value and effectiveness of routine annual assessments's of this kind. Drawing on interviews with FHSA managers and their professional medical and nursing advisors, this paper examines the strategies adopted by FHSAs in tackling the administration of this particularly controversial requirement. Although apparently effective in the short‐term, the paper concludes that these strategies may have considerable longer‐term short‐comings. The constraints and pressures experienced by FHSAs and the strategies employed to deal with them provide a useful insight into the tensions generated in the course of developing a managerial relationship with professional practitioners who have traditionally enjoyed very high levels of autonomy and independence
Administration (probate law · Autonomy · Independence (probability theory · Managerialism · Opposition (politics · Political science · Politics · Power (physics · Public relations · Skepticism · Value (mathematics · Healthcare innovation and challenges · Healthcare Quality and Management · Law · Medicine · Nursing · Political and Economic history of UK and US · Public Administration
| Citations per year | 0.05 |
|---|---|
| Citation span | 2004 - 2004 (1) |
| Highly cited | No |