The New National Health Service: A Case of Postmodernism?
研究了英国国民健康服务体系从计划型向市场导向型转变，探讨后现代性对医院新型灵活组织形式的解释力，聚焦国家政策与地方实践在意识形态和组织上的矛盾。
The National Health Service in Britain has recently undergone a major re organization. It has moved away from being a planned system of health care delivery to a demand driven system organized on the principles of (quasi-) market competition and quality assurance. These changes are intended by gov ernment to 'empower' the consumer (patient) with real choice and to incorpor ate the health professionals within a more effective and efficient system of hospital management. It is in this context that the paper examines the use fulness of 'postmodernity' as an explanation for the emergence of new 'flex ible' organizational forms within the hospital service. The paper will concen trate on the ideological and organizational contradictions between state policy and local practice, especially in relation to issues of managerial vs professional autonomy and control.