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Record Nr. |
UNINA9910465935703321 |
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Autore |
Givan Rebecca Kolins <1975-> |
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Titolo |
The Challenge to Change : Reforming Health Care on the Front Line in the United States and the United Kingdom / / Rebecca Kolins Givan |
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Pubbl/distr/stampa |
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Ithaca, New York ; ; London, [England] : , : ILR Press, , 2016 |
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©2016 |
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ISBN |
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1-5017-0657-8 |
1-5017-0602-0 |
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Descrizione fisica |
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1 online resource (217 p.) |
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Collana |
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Culture and politics of health care work |
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Disciplina |
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Soggetti |
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Health care reform - Great Britain |
Health care reform - United States |
Electronic books. |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Description based upon print version of record. |
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Nota di bibliografia |
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Includes bibliographical references and index. |
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Nota di contenuto |
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Health care systems in the United States and the United Kingdom: a lifetime of change -- Turbulence in the two systems -- Measuring and rewarding performance: imposing change from above in the United Kingdom -- Regulating the frontline from above: the joint commission and hospital regulation in the United States -- Pushing back from the frontline: staff responses to privatization in the National Health Service -- Building a safety culture from the frontline in the United States -- From the health care workplace to the health care system: learning from the United States and United Kingdom. |
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Sommario/riassunto |
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There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will be rewarded by positive transformation in a particular institution's day-to-day operation. Givan's in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines |
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