Related Experiment Videos
Griffiths in theory and practice: a research assessment.
The Journal of Health Administration Education
|February 3, 1989
Summary
The Griffiths Report's recommendation for general managers in the National Health Service (NHS) was studied. This research examined district general managers' (DGMs) restructuring efforts and cultural change initiatives within the NHS.
Area of Science:
- Healthcare Management
- Public Health Policy
- Organizational Change
Background:
- The Griffiths Report recommended appointing general managers at all levels of the National Health Service (NHS).
- Implementation of this recommendation aimed to improve efficiency and management within the NHS.
Purpose of the Study:
- To evaluate the impact of appointing District General Managers (DGMs) as per the Griffiths Report.
- To analyze the restructuring processes, professional transitions, and cultural shifts initiated by DGMs.
Main Methods:
- A qualitative study involving 20 District General Managers (DGMs) in the NHS.
- Longitudinal follow-up of DGMs for 12 to 18 months to observe their initial tasks and challenges.
Main Results:
- Variations in district restructuring were observed, impacting officers from diverse professional backgrounds.
- Reactions from medical staff, nurses, and paramedics to the changes were documented.
- DGMs actively pursued cultural transformation within their NHS districts.
Conclusions:
- The study identified significant ongoing dilemmas in implementing general management in the NHS.
- Key learning needs for current and future NHS general managers were highlighted.