LEADER 04068oam 22006134a 450 001 9910465935703321 005 20210915043550.0 010 $a1-5017-0657-8 010 $a1-5017-0602-0 024 7 $a10.7591/9781501706028 035 $a(CKB)3710000000841837 035 $a(EBL)4661986 035 $a(StDuBDS)EDZ0001599524 035 $a(MiAaPQ)EBC4661986 035 $a(OCoLC)957590819 035 $a(MdBmJHUP)muse53818 035 $a(DE-B1597)478712 035 $a(OCoLC)964529094 035 $a(OCoLC)979581599 035 $a(DE-B1597)9781501706028 035 $a(Au-PeEL)EBL4661986 035 $a(CaPaEBR)ebr11253216 035 $a(CaONFJC)MIL951895 035 $a(EXLCZ)993710000000841837 100 $a20160126h20162016 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 14$aThe Challenge to Change$eReforming Health Care on the Front Line in the United States and the United Kingdom /$fRebecca Kolins Givan 210 1$aIthaca, New York ;$aLondon, [England] :$cILR Press,$d2016. 210 4$dİ2016 215 $a1 online resource (217 p.) 225 0 $aCulture and politics of health care work 300 $aDescription based upon print version of record. 311 $a0-8014-5005-5 320 $aIncludes bibliographical references and index. 327 $aHealth 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. 330 $aThere is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often, as we know all too well, these efforts are not successful. In The Challenge to Change, Rebecca Kolins Givan analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will be rewarded by positive transformation in a particular institution's day-to-day operation. Givan's in-depth qualitative case studies of both top-down initiatives and changes first suggested by staff on the front lines of care point clearly to the importance of all hospital workers in effecting change and even influencing national policy.Givan illuminates the critical role of workers, managers, and unions in enabling or constraining changes in policies and procedures and ensuring their implementation. Givan spotlights an Anglo-American model of hospital care and work organization, even while these countries retain their differences in access and payment. Entrenched professional roles, hierarchical workplace organization, and the sometimes-detached view of policymakers all shape the prospects for change in hospitals. Givan provides important examples of how the dedication and imagination of the people who work in hospitals can make all the difference when it comes to providing quality health care even in a challenging economic environment. 410 0$aCulture and politics of health care work. 606 $aHealth care reform$zGreat Britain 606 $aHealth care reform$zUnited States 608 $aElectronic books. 615 0$aHealth care reform 615 0$aHealth care reform 676 $a362.1/0425 700 $aGivan$b Rebecca Kolins$f1975-$0786593 801 0$bMdBmJHUP 801 1$bMdBmJHUP 906 $aBOOK 912 $a9910465935703321 996 $aThe Challenge to Change$92435913 997 $aUNINA