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Clinicians into management: the experience in context.

J Burgoyne1, A Lorbiecki

  • 1Management School, Lancaster University, England.

Health Services Management Research
|October 5, 1993
PubMed
Summary
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Clinicians are adapting to management roles within healthcare organizations, maintaining their medical culture through clinical directorates. This integration may succeed if professional regulation is accepted and resource conflicts are managed externally.

Area of Science:

  • Healthcare Management
  • Medical Sociology
  • Organizational Behavior

Background:

  • The study examines clinician involvement in formal management roles within evolving healthcare systems.
  • It considers the impact of managerialism and the purchaser/provider model in the National Health Service (NHS).

Purpose of the Study:

  • To interpret the experiences of clinicians transitioning into management.
  • To analyze how medical culture is maintained amidst managerial responsibilities.
  • To explore conditions for successful integration of clinicians into healthcare management.

Main Methods:

  • Qualitative interpretation of the experiences of 60 clinicians.
  • Analysis within the context of changing health service organization and NHS evolution.

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Main Results:

  • Clinicians are making necessary personal and social adjustments to management roles.
  • Medical culture and allegiance remain largely intact, facilitated by clinical directorates.
  • Clinical directorates function as both professional groups and business units.

Conclusions:

  • The model of clinician involvement in management can function long-term if clinicians accept local professional regulation.
  • External management of resource conflicts is crucial to prevent increased conflict within clinical directorates.
  • Potential for increased conflict exists if management control systems impact the medical domain through clinical directorates.