Modernizing Public Healthcare Governance in Hong Kong: A Case Study of Professional Power in the New Public Management
研究了香港通过公司化改革公共医疗治理以提升管理自主权和服务效率的过程,发现改革加剧了官僚内部冲突,并意外巩固了医疗专业权力。
This article examines Hong Kong's experience in modernizing and corporatizing public healthcare governance in order to enhance management autonomy and service efficiency, against the background of a previous regime of centralized departmental control and amid the worldwide trend of new public management. The reform, culminating in the establishment of a hospital authority, is found to be wrought with intense intra-bureaucratic conflict, as well as rivalries between professional and administrative bureaucrats, between professionals of different sectors, and between medical and para-medical providers. Instead of breaking up traditional professional monopoly and opening up the system to non-medical general management, corporatization has resulted in an unplanned entrenchment and re-empowerment of medical professional power.