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In their efforts to implement development and innovation strategies, health-care organizations often face the unconscious remains of Taylorism from the era of industrial management on the one hand, and constant disagreement between managers and doctors or between groups of health-care professionals on the other.
Ministers have tested micro-management to destruction, setting reams of detailed targets that have tied managers and doctors in knots, often with damaging side-effects.
Managers and doctors who complained that this was unethical were silenced and disciplined, or even sacked.
But NHS managers and doctors do themselves no favours by their attitude of "arms around their work, no peeking".
Yet noncommissioned officers discipline soldiers who fail to complete those tasks, sometimes over the objections of nurse case managers and doctors.
A BESO spokesman said that the organisation is "limited by funding rather than a lack of volunteers".Enthusiastic but unqualified students do not impress as much as they once did alongside accountants, managers and doctors.
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The 291 "very senior managers", who are a combination of managers (62%) and doctors (38%), represent 4.7% of its overall workforce.
'Making Things Worse' Like private outpatient clinics, Warrior Transition Units aim to provide highly individualized care and ready access to case managers, therapists and doctors.
It also established 1km-sized "gridsquares", or suburbs, within which housing estates would be built, where "workers, managers, vicars and doctors" would mingle in shops, schools and AFUs – advanced factory units.
But Tom Hollander, currently starring in BBC1's The Night Manager and Doctor Thorne on ITV, said last week that the preponderance of high profile TV and film roles going to privately educated stars was down to fashion not privilege.
Intra- case synthesis (Synthesised from interviews with nurses, practice manager and doctor, social scanning and RA notes).
More suggestions(15)
commanders and doctors
ministers and doctors
administrators and doctors
professionals and doctors
managers and physician
management and doctors
managers and agents
managers and psychiatrists
managers and Professionals
managers and professionals
managers and laywers
managers and others
managers and peers
managers and collaborators
managers and policymakers
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