Healthcare States and Medical Professions: The Challenges from NPM

Authored by: Haldor Byrkjeflot

The Ashgate Research Companion to New Public Management

Print publication date:  December  2010
Online publication date:  March  2016

Print ISBN: 9780754678069
eBook ISBN: 9781315613321
Adobe ISBN: 9781317042372


 Download Chapter



Scholars of public administration have noted that during the last 20–30 years, hospital reforms have become a global phenomenon. More recently, they have also noticed that healthcare is in a state of permanent ‘dis-reorganization’ (Stambolovic 2003, Pollitt 2007b). This chapter starts with the assumption that although New Public Management (NPM) refers to a rather diverse set of reform ideas, it is nonetheless meaningful to use the label as a point of departure for analysing the reforms that have been undertaken in healthcare since the 1980s. The chapter will outline a few common characteristics of such reforms and use them as the starting point for presenting and discussing alternative frameworks for understanding and making sense of recent reform trends. It will then discuss what happens when these frameworks and the empirical realities to which they refer are challenged by NPM.

Search for more...
Back to top

Use of cookies on this website

We are using cookies to provide statistics that help us give you the best experience of our site. You can find out more in our Privacy Policy. By continuing to use the site you are agreeing to our use of cookies.