|About the book|
Gray and Harrison have assembled an impressive array of authors to analyse the changing role of the medical profession. The contributions range from historical analyses of the relationship between government and doctors, to detailed examination of the implementation of clinical governance in the NHS. All offer important insights into an issue that lies at the heart of contemporary debates in health policy.
Chris Ham, University of Birmingham
This 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 governance
Starting 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.
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.
|About the authors|
Andrew Gray is emeritus Professor of Public Sector Management at the University of Durham and a freelance writer, teacher and researcher. His academic interests are in the governance of public organisations and the history and functioning of the UK civil service.
Steve Harrison is Professor of Social Policy at the University of Manchester. He was formerly Professor of Health Policy and Politics at the University of Leeds. His academic interests are in health policy analysis, medical/managerial politics and participation and democracy in health care. He has authored or co-authored 12 books and 200 other publications.
|Table of contents|
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 Scienti'c 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