Managerialism in the Australian public health sector: Towards the hyper-rationalisation of professional bureaucracies

Sociology of Health and Illness

Volumn 27, Issue 6, 2005, Pages 738-758

  Germov, John ^a  

^a UNIVERSITY OF NEWCASTLE   (Australia)

Author keywords

Formal rationality; Hyper rationality; Ideal type; Managerialism; Negotiated order; Professional bureaucracy; Rationalisation; Substantive rationality

Indexed keywords

ARTICLE; AUSTRALIA; HEALTH SERVICES RESEARCH; INTERVIEW; ORGANIZATION; PROFESSIONAL PRACTICE; PUBLIC HEALTH; PUBLIC HEALTH SERVICE; PUBLIC RELATIONS; SOCIOLOGY; THEORETICAL MODEL;

AUSTRALIA; INTERPROFESSIONAL RELATIONS; INTERVIEWS; MODELS, THEORETICAL; NATIONAL HEALTH PROGRAMS; ORGANIZATIONAL CASE STUDIES; ORGANIZATIONAL CULTURE; PROFESSIONAL AUTONOMY; PUBLIC HEALTH ADMINISTRATION; SOCIOLOGY, MEDICAL;

EID: 28444484654     PISSN: 01419889     EISSN: 14679566     Source Type: Journal    
DOI: 10.1111/j.1467-9566.2005.00472.x     Document Type: Article

References (71)

1. Allsop, J. and Saks, M. (eds) (2003) Regulating the Health Professions. London: Sage.
2. Albrow, M. (1970) Bureaucracy. London: Pall Mall Press.
3. Allan, C. (1998) The elasticity of endurance: work intensification and workplace flexibility in the Queensland public hospital system, New Zealand Journal of Industrial Relations, 23, 3, 131-51.
4. APS, Australian Public Service Commission (2003) The Australian Experience of Public Sector Reform. Canberra: Australian Public Service Commission.
5. Barker, J.R. (1993) Tightening the iron cage: concertive control in self-managing teams, Administrative Science Quarterly, 38, 3, 408-37.
6. Beattie, B. (2000) What impact has managerialism had on a New South Wales Area Health Service? Australian Health Review, 23, 4, 170-5.
7. Belcher, H. (2005) Power, politics, and health care. In Germov, J. (ed.) Second Opinion: an Introduction to Health Sociology, 3rd Edition. Melbourne: Oxford University Press.
8. Blau, P.M. (1963) The Dynamics of Bureaucracy, 2nd Edition. Chicago: University of Chicago Press.
9. Braithwaite, J. (1997) Workplace Industrial Relations in the Australian Hospital Sector. Sydney: School of Health Services Management, University of New South Wales.
10. Braithwaite, J. and Hindle, D. (1998) Casemix funding in Australia: time for a rethink, Medical Journal of Australia, 168, 558-60.
11. Brubaker, R. (1984) The Limits of Rationality: an Essay on the Social and Moral Thought of Max Weber. London: George Allen and Unwin.
12. Bryson, L. (1987) A new iron cage? Experiences of managerial reform, Flinders Studies in Policy and Administration, 3, March, 17-45.
13. Camp, R.C. (1989) Benchmarking: the Search for Industry Best Practices that lead to Superior Performance. Milwaukee: ASQC Quality Press.
14. Coburn, D., Rappolt, S. and Bourgeault, I. (1997) Decline vs. retention of medical power through restratification: an examination of the Ontario case, Sociology of Health and Illness, 19, 1, 1-22.
15. Considine, M. (1990) Managerialism strikes out, Australian Journal of Public Administration, 49, 2, 166-78.
16. Considine, M. and Painter, M. (eds) (1997) Managerialism: the Great Debate. Carlton South: Melbourne University Press.
17. Courpasson, D. (2000) Managerial strategies of domination: power in soft bureaucracies, Organization Studies, 22, 141-61.
18. Dean, M. (1999) Governmentality: Power and Rule in Modern Society. London: Sage.
19. Delbridge, R. and Lowe, J. (1997) Manufacturing control: supervisory surveillance on the 'new' shopfloor, Sociology, 31, 3, 409-26.
20. Dent, M. (1998) Hospitals and new ways of organisation of medical work in Europe: standardisation of medicine in the public sector and the future of medical autonomy. In Thompson, P. and Warhurst, C. (eds) Workplaces of the Future. London: Macmillan.
21. Dertouzos, M., Lester, R. and Solow, R. (1989) Made in America: Regaining the Productive Edge. Cambridge, Mass.: MIT Press.
22. DHSH, Department of Human Services and Health (no date) Best Practice in the Health Sector Information Kit. Canberra: Department of Human Services and Health.
23. DIR/AMC, Department of Industrial Relations and the Australian Manufacturing Council (1992) International Best Practice: Report of the Overseas Study Mission. Canberra: Department of Industrial Relations.
24. Draper, M. (1992) Casemix, Quality and Consumers. Melbourne: Health Issues Centre.
25. Exworthy, M. and Halford, S. (eds) (1999) Professionals and the New Managerialism in the Public Sector. Buckingham: Open University Press.
26. Ezzy, D. (1997) Subjectivity and the labour process: conceptualising 'good work', Sociology, 31, 3, 427-44.
27. Ferlie, E., Pettigrew, A., Ashburner, L. and Fitzgerald, L. (1996) The New Public Management in Action. Oxford: Oxford University Press.
28. Flynn, R. (2002) Clinical governance and governmentality, Health, Risk and Society, 4, 2, 155-73.
29. Freidson, E. (1994) Professionalism Reborn: Theory, Prophecy and Policy. Cambridge: Polity Press.
30. Germov, J. (2002) Second wave managerialism and the hyper-rationalisation of profession work: case studies from the Australian public health sector, Sociological Abstracts, Conference paper presented at the International Sociological Association XV World Congress, Brisbane, Australia, 7-13 July.
31. Germov, J., Heiler, K. and Pickersgill, R. (1998) The Evaluation of the Best Practice in Health Program. Working Paper 54, Sydney: Australian Centre for Industrial Relations, Research and Training, University of Sydney.
32. Halligan, J. (1997) New public sector models: reform in Australia and New Zealand. In Lane, J. (ed.) Public Sector Reform: Rationale, Trends and Problems. London: Sage.
33. Harrison, S. and Ahmad, W. I. (2000) Medical autonomy and the UK state, 1975 to 2025, Sociology, 34, 1, 129-46.
34. Harrison, S. and Dowswell, G. (2002) Autonomy and bureaucratic accountability in primary care: What English general practitioners say, Sociology of Health and Illness, 24, 2, 208-26.
35. Hoggett, P. (1996) New modes of control in the public service, Public Administration: An International Quarterly, 74, Spring, 9-32.
36. rd Edition. New York: Palgrave.
37. Kalberg, S. (1980) Max Weber's types of rationality: cornerstones for the analysis of rationalization processes in history, American Journal of Sociology, 85, 5, 1145-79.
38. Keating, M. (1990) Managing for results in the public interest, Australian Journal of Public Administration, 49, 4, 387-98.
39. Knights, D. and McCabe, D. (1998) Dreams and designs on strategy: a critical analysis of TQM and management control, Work, Employment and Society, 12, 3, 433-56.
40. LeMoyne, T., Falk, W.W. and Neustadtl, A. (1994) Hyperrationality: historical antecedents and contemporary outcomes within Japanese manufacturing, Sociological Spectrum, 14, 3, 221-40.
41. Levine, D. (1981) Rationality and freedom: Weber and beyond, Sociological Inquiry, 51, 5-25.
42. Light, D.W. (2000) The medical profession and organizational change: From professional dominance to countervailing power. In Bird, C., Conrad, P. and Fremont, A.M. (eds) Handbook of Medical Sociology, 5th Edition. New Jersey: Prentice Hall.
43. Lin, V. and Duckett, S. (1997) Structural interests and organisational dimensions of system reform. In Gardner, H. (ed.) Health Policy in Australia. Melbourne: Oxford University Press.
44. Lincoln, Y. and Guba, E. (1985) Naturalistic Enquiry. Beverley Hills: Sage.
45. Marshall, C. and Rossman, G.B. (1995) Designing Qualitative Research, 2nd Edition. Thousand Oaks Park: Sage.
46. Mintzberg, H. (1979) The Structuring of Organizations. Englewood Cliffs, New Jersey: Prentice Hall.
47. O'Brien, J. and Fairbrother, P. (2000) A changing public sector: developments at the Commonwealth level, Australian Journal of Public Administration, 59, 4, 59-66.
48. O'Brien, J. and O'Donnell, M. (2000) Creating a new moral order? Cultural change in the Australian Public Service, Labour and Industry, 10, 3, 57-76.
49. O'Brien, J. and O'Donnell, M. (2002) Towards a new public unitarism: employment and industrial relations in the Australian Public Service, Economic and Labour Relations Review, 13, 1, 60-87.
50. O'Donnell, M., Allan, C. and Peetz, D. (2001) New Public Management and workplace change, Economic and Labour Relations Review, 12, 1, 85-103.
51. O'Donnell, M. and Shields, J. (2002) Performance management and the psychological contract in the Australian federal public sector, Journal of Industrial Relations, 44, 3, 435-57.
52. Osborne, D. and Gaebler, T. (1992) Reinventing Government: How the Entrepreneurial Spirit is Transforming the Public Sector from Schoolhouse to State House, City Hall to Pentagon. Reading: Addison Wesley.
53. Paterson, J. (1988) A managerialist strikes back, Australian Journal of Public Administration, XLVII, 4, 287-95.
54. Peters, T.J. and Waterman, R.H. (1982) In Search of Excellence: Lessons from America's Best-run Companies. New York: Harper and Row.
55. Pollitt, C. and Bouckaert, G. (2000) Public Management Reform: a Comparative Analysis. Oxford: Oxford University Press.
56. Quinlan, M., Mayhew, C. and Bohle, P. (2001) The global expansion of precarious employment, work disorganization, and consequences for occupational health: a review of recent research, International Journal of Health Services, 31, 2, 335-414.
57. Ritzer, G. (1993) The McDonaldization of Society. California: Pine Forge Press.
58. Ritzer, G. and Walczak, D. (1988) Rationalization and the deprofessionalization of physicians, Social Forces, 67, 1-22.
59. Ritzer, G. and LeMoyne, T. (1991) Hyperrationality: an extension of Weberian and neo-Weberian theory. In Ritzer, G. (ed.) Metatheorizing in Sociology. Massachusetts: Lexington Books.
60. Rose, N. and Miller, P. (1992) Political power beyond the state: problematics of government, British Journal of Sociology, 43, 2, 173-205.
61. Sewell, G. and Wilkinson, B. (1992) Someone to watch over me: surveillance, discipline and the just-in-time labour process, Sociology, 26, 2, 271-89.
62. Sheaff, R., Rogers, A., Pickard, S., Marshall, M., Campbell, S., Sibbald, B., Halliwell, S. and Roland, M. (2003) A subtle governance: 'soft' medical leadership in English primary care, Sociology of Health and Illness, 25, 5, 408-28.
63. Stanton, P. (2002) Workplace reform in the public health care sector. In Gardner, H. and Barraclough, S. (eds) Health Policy in Australia, 2nd Edition. Melbourne: Oxford University Press.
64. Strauss, A., Schatzman, L., Ehrlich, D., Bucher, R. and Sabshin, M. (1963) The hospital and its negotiated order. In Freidson, E. (ed.) The Hospital in Modern Society. New York: Free Press.
65. Taylor, F.W. (1947/1911) Scientific Management. New York: Harper and Brothers.
66. Tenbruck, F.H. (1989) The problem of thematic unity in the works of Max Weber. In Tribe, K. (ed.) Reading Weber. London: Routledge.
67. Turner, B.S. (1995) Medical Power and Social Knowledge, 2nd Edition. London: Sage.
68. Walby, S. and Greenwell, J. with Mackay, L. and Soothill, K. (1994) Medicine and Nursing: Professions in a Changing Health Service. London: Sage.
69. Weber, M. (1968/1921) Economy and Society: an Outline of Interpretive Sociology. 3 volumes, Roth, G. and Wittich, C. (eds), New York: Bedminster Press.
70. Weekes, K., Peterson, C. and Stanton, P. (2001) Stress and the workplace: the medical scientists' experience, Labour and Industry, 11, 3, 95-120.
71. Yeatman, A. (1994) The reform of public management: an overview, Australian Journal of Public Administration, 53, 3, 287-95.