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Health Care Analysis
Published in: Health Care Analysis 4/2006

01-12-2006 | Original Article

An Empirical Assessment of Social Structural and Cultural Change in Clinical Directorates

Author: Jeffrey Braithwaite

Published in: Health Care Analysis | Issue 4/2006

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Abstract

The results of two observational studies of clinical directorates (CDs) are presented. The paper exposes fresh perspectives about the management of hospitals and CDs, and suggests that the most important axis on which hospital decision-making rests continues to be profession rather than the CD, even though CDs are designed at least in part to mitigate professional tribalism and bridge professional divides. In empiricising social structural and cultural theories it seems clear that changes to the prescribed organisational framework, which CDs represent, have had negligible effects on behaviour. This being the case, the paper questions the benefits alleged to have accrued from establishing CDs and calls for more effective, micro-behavioural change strategies than merely altering the structure.
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Metadata
Title
An Empirical Assessment of Social Structural and Cultural Change in Clinical Directorates
Author
Jeffrey Braithwaite
Publication date
01-12-2006
Published in
Health Care Analysis / Issue 4/2006
Print ISSN: 1065-3058
Electronic ISSN: 1573-3394
DOI
https://doi.org/10.1007/s10728-006-0025-5

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