04068oam 22006134a 450 991046593570332120210915043550.01-5017-0657-81-5017-0602-010.7591/9781501706028(CKB)3710000000841837(EBL)4661986(StDuBDS)EDZ0001599524(MiAaPQ)EBC4661986(OCoLC)957590819(MdBmJHUP)muse53818(DE-B1597)478712(OCoLC)964529094(OCoLC)979581599(DE-B1597)9781501706028(Au-PeEL)EBL4661986(CaPaEBR)ebr11253216(CaONFJC)MIL951895(EXLCZ)99371000000084183720160126h20162016 uy 0engur|n|---|||||rdacontentrdamediardacarrierThe Challenge to ChangeReforming Health Care on the Front Line in the United States and the United Kingdom /Rebecca Kolins GivanIthaca, New York ;London, [England] :ILR Press,2016.©20161 online resource (217 p.)Culture and politics of health care workDescription based upon print version of record.0-8014-5005-5 Includes bibliographical references and index.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.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 of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy.Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment.Culture and politics of health care work.Health care reformGreat BritainHealth care reformUnited StatesElectronic books. Health care reformHealth care reform362.1/0425Givan Rebecca Kolins1975-786593MdBmJHUPMdBmJHUPBOOK9910465935703321The Challenge to Change2435913UNINA