Governing medicine : theory and practice

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書誌事項

Governing medicine : theory and practice

edited by Andrew Gray and Stephen Harrison

Open University Press, 2004

  • : pbk

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注記

Bibliography: p. [189]-208

Includes index

内容説明・目次

内容説明

Gray and Harrison have assembled an impressive array of authors to analysethe changing role of the medical profession. The contributions range fromhistorical analyses of the relationship between government and doctors, todetailed examination of the implementation of clinical governance in theNHS. All offer important insights into an issue that lies at the heart ofcontemporary debates in health policy. Chris Ham, University of BirminghamThis book brings together the most pertinent discussion on clinical governance by some of the most eminent practitioners and researchers in the United Kingdom. Since New Labour's institution of clinical governance through its White Paper in 1997, there has been a good deal of debate about the history, theory and practice of Clinical Governance and the governance of clinical care. Divided into three parts, the book contains sections on: *Medicine, autonomy and governance *Evidence, science and medicine *Realizing clinical governanceStarting with the differing definitions of the term clinical governance, the contributors discuss the relationship of medicine and governance, the challenges that evidence-based medicine makes upon clinical practice and move on to suggest possible futures for clinical governance. Written by a team of experienced academics and practitioners, this book is aimed at reflective health professionals, as well as students and academics in the fields of health policy, health services management, social policy and public policy.Contributors Marian Barnes, Andy Bilson, David Byrne, Barbara Coyle, Pieter Degeling, Tracy Finch, Rob Flynn, Andrew Gray, Steve Harrison, Rick Iedema, John Kennedy, Fergus Macbeth, Frances Mair, Sharyn Maxwell, Carl May, Michael Moran, Maggie Mort, Nancy Redfern, Chandra Vanu Som, Jane Stewart, Barbara Telfer, Stephen Watkins, Sue White.

目次

Governing Medicine: An Introduction PART 1: MEDICINE, AUTONOMY AND GOVERNANCE 'Soft Bureaucracy', Governmentality and Clinical Governance: Theoretical Approaches to Emergent Policy Governing Doctors in the British Regulatory State Medicine and Government: Partnership Spurned? Medicine and Management: Autonomy and Authority in the National Health Service Practitioner Perspectives on Objectives and Outcomes of Clinical Governance: Some Evidence from Wales PART 2: EVIDENCE, SCIENCE AND MEDICINE Evidence-Based: What Constitutes Valid Evidence? Limits of Governance: Interrogating the Tacit Dimensions of Clinical Practice Telemedicine and Clinical Governance: Controlling Technology, Containing Knowledge Affect, Anecdote and Diverse Debates: User Challenges to Scientific Rationality PART 3: REALIZING CLINICAL GOVERNANCE What Counts is What Works: Postgraduate Medical Education and Clinical Governance Developing the Human Resource Dimension of Clinical Governance Restructuring Clinical Governance to Maximize its Developmental Potential Governing Medicine: Governance, Science and Practice References Index.

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