New Public Management has affected the relationship between corporate managerialism and professional modes of governing hospitals. While doctors’ increasing involvement in management may have positive effects on health care, hospital governance, health care policies and medical education have largely failed to support this change. There is a need for new policies and approaches to support the changing connections between medicine and management that abandons both the military discourse of ‘wars’ and ‘battlefields’ and the new rhetoric of ‘clinical leadership’.
SaltmanRBDuránADuboisHFWIntroduction: innovative governance strategies in European public hospitals. In: SaltmanRBDuránADuboisHFW (eds). Governing public hospitals, Copenhagen: WHO, 2011, pp. 1–33.
2.
BraithwaiteJWestbrookM. Rethinking clinical organisational structures: an attitude survey of doctors, nurses and allied health staff in clinical directorates. J Health Serv Res Policy2005; 10: 10–17.
3.
GoodallAH. Physician-leaders and hospital performance: is there an association?Soc Sci Med2011; 43: 535–539.
4.
KuhlmannEBurauVCorreiaT. ‘A manager in the minds of doctors’: a comparison of new modes of control in European hospitals. BMC Health Serv Res2013; 13: 246–246.
5.
MacIntoshRBeechNMartinG. Dialogues and dialectics: limits to clinician–manager interaction in healthcare organizations. Soc Sci Med2012; 74: 332–339.
6.
NumeratoDSalvatoreDFattoreG. The impact of management on medical professionalism: a review. Sociol Health Illn2011; 34: 626–644.
7.
BrommelsM. Management and medicine: odd couple no more. Bonding through medical management research. Scand J Public Health2010; 38: 673–677.
8.
VeronesiGKirkpatrickIVallascasF. Clinicians on the board: what difference does it make?Soc Sci Med2013; 77: 147–155.
9.
HorsleyTGrimshawJCampbellC. How to create conditions for adapting physicians’ skill to new needs and lifelong learning. Policy Brief, Copenhagen: WHO Europe, 2010.
10.
PlochgTKlazingaNStarfieldB. Transforming medical professionalism to fit changing health needs. BMC Med2009; 7: 64–64.
11.
FreidsonE. Professionalism. The third logic, Oxford: Polity Press, 2001.
12.
Von KnorringMde RijkAAlexandersonK. Managers’ perceptions of the manager role in relation to physicians: a qualitative interview study of the top managers in Swedish healthcare. BMC Health Serv Res2010; 10: 271–271.
13.
HortonR. Clinical leadership improves health outcomes. Lancet2013; 382: 925–925.
14.
WaringJ. Looking back (and forwards) at general management: 30 years on from the Griffiths report. J Health Serv Res Policy2013; 18: 249–250.
