The new bureaucracy : quality assurance and its critics / / Max Travers

• Record Nr.: UNINA9910964009503321
• Autore: Travers Max
• Pubbl/distr/stampa: Bristol, UK, : Policy Press, 2007
• ISBN: 9786611741778; 9781281741776; 1281741779; 9781847422354; 1847422357
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (vi, 202 pages) : digital, PDF file(s)
• Disciplina: 352.357
• Soggetti: Total quality management in government; Public administration - Quality control; Organizational change
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Title from publisher's bibliographic system (viewed on 14 Jan 2022).
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Cover; THE NEW BUREAUCRACY; Contents; Acknowledgements; 1. Introduction; 2. Quality assurance as a new occupation; 3. Professionals and quality; 4. Audit and inspection; 5. Organisations and accountability; 6. The problem of red tape; 7. Critical responses; 8. Conclusion: learning to live with regulation; References; Index
• Sommario/riassunto: There has already been much discussion and critique of the New Public Management, and the impact of auditing and inspection on professional work in schools, hospitals, local government and the police. This study, by a qualitative sociologist, uses interpretive methods to examine this new form of regulation from the inside. Based on interviews with inspectors, quality assurance managers, and auditors, as well as with professionals struggling with red tape, it offers a critical and insightful account of organisational change. The author includes vivid accounts of how quality assurance procedures and systems work in practice, conveying a sense of what is practically involved in the work of counting, measuring and managing quality, and the everyday frustrations of professionals dealing with ever-increasing amounts of paper work and red tape. This book should be essential ; reading for anyone concerned about the rise of this new bureaucracy and the contemporary state of the professions. It is intended to support courses on quality assurance and the New Public Management in public administration and management. It also provides an accessible introduction for students in socio-legal studies, sociology and social policy about the effects of neo-liberalism on public sector work.

Caring for Patients with Depression in Primary Care / / by David S. Kroll

• Record Nr.: UNINA9910588599503321
• Autore: Kroll David S.
• Pubbl/distr/stampa: Cham : , : Springer International Publishing : , : Imprint : Springer, , 2022
• ISBN: 9783031084959; 9783031084942
• Edizione: [1st ed. 2022.]
• Descrizione fisica: 1 online resource (117 pages) : illustrations
• Collana: Medicine Series
• Disciplina: 616.8527; 616.852706
• Soggetti: Primary care (Medicine); Psychiatry; Primary Care Medicine; Depressió psíquica; Atenció primària; Llibres electrònics
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di bibliografia: Includes bibliographical references and index.
• Sommario/riassunto: Depression is the leading cause of disability in the United States, and the traditional framework for managing depression within a psychiatry practice—i.e., a single psychiatrist treating a single patient for up to an hour per week—comes up painfully short at the level of serving the population even if it can be highly effective for individuals. At the same time, the non-systematic way in which most patients identify the need to see a specialty provider in behavioral health leaves many stranded, ; regardless of how complex their needs are. Primary care is now often considered the “de facto mental health system” in the United States, and primary care providers have been charged with the impossible task of making up for the dearth of psychiatric specialty providers and somehow correcting the many inequities in access to care that remain. Primary care providers shouldn’t have to do this alone. Help can come in many forms, of course, and some primary care practices are lucky enough to have a consulting psychiatrist on-site, available to answer any questions that come up and see patients directly when they need an expert opinion. This is exactly what David S Kroll, MD, an Associate Vice Chair in the Department of Psychiatry at Brigham and Women’s Hospital in Boston and an Assistant Professor at Harvard Medical School, does for a primary care practice that serves more than 17,000 patients with a wide range of medical, social, and psychiatric problems. But most primary care practices don’t have this resource. This book replicates the expertise of a consulting psychiatrist in a concise volume that primary care providers can pull off their shelves whenever they have a question about managing depression. It ensures that no one has to do this on their own. Managing Depression in Primary Care contains fourteen chapters that anticipate the questions, problems, and practical challenges that are most likely to come up when managing depression in primary care. It covers the basic skills that are needed for treating depression when it occurs in a vacuum, but it also provides practical guidance on treating depression in the real world—where it will inevitably be complicated by other factors. It also covers important associated topics including suicide, substance use, and disability.