Whither managerialism in the Italian National Health Service?
Whither managerialism in the Italian National Health Service?
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DOI：
10.1002/hpm.861
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发表时间：
2006-10-01
影响因子：
2.7
通讯作者：
Cantu, Elena
中科院分区：
文献类型：
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作者：
Anessi-Pessina, Eugenio;Cantu, Elena
在过去十年中，意大利国家保健服务的特点是根据新公共管理范式引进了管理概念和技术。最近，这些改革受到了越来越多的批评。本文考察了管理主义的实施，试图评价其总体成就和缺点。总体而言，管理主义似乎取得了良好的进展：管理技能正在提高；若干管理工具已适应保健和公共部门的特点；保健组织采用了各种各样的技术解决方案来满足其具体需求。与此同时，管理创新通常关注于结构而不是过程，关注于组织的外观而不是其工作方式，关注于其拥有的工具而不是其实际需要和使用的工具。因此，我们建议，研究、培训和政策制定应停止把重点放在具体工具的技术特征和理论优点上，而应将重点转向变革管理。版权所有(c) 2006约翰威利父子有限公司
In the last decade, the Italian National Health Service has been characterized by the introduction of managerial concepts and techniques, according to the New Public Management paradigm. Recently, these reforms have been increasingly criticized. This article examines the implementation of managerialism in an attempt to evaluate its overall achievements and shortcomings. Overall, managerialism seems to have made good progress: managerial skills are improving; several management tools have been adapted to health-care and public-sector peculiarities; health-care organizations have adopted a wide range of technical solutions to fit their specific needs. At the same time, managerial innovations have often focused on structures as opposed to processes, on the way the organization looks as opposed to the way it works, on the tools it has as opposed to those it actually needs and uses. We thus suggest that research, training and policy-making should stop focusing on the technical features and theoretical virtues of specific tools and should redirect their emphasis on change management. Copyright (c) 2006 John Wiley & Sons, Ltd.