A critical analysis of management within general medical practice

Best, WAA, 1999. A critical analysis of management within general medical practice. MPhil, Nottingham Trent University.

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Abstract

The purpose of the research is to attempt to examine some of the ways GPs are reacting to the pressures to become more "managerial". (Brown 1979). Research has shown that this has been in diverse and different ways-that management in General Medical Practice might be defined in a different way. Whilst traditional methods of management analysis might go some way to explaining the actions of GPs a wider definition is required. This was because often GPs them selves did not know and certainly found it hard to articulate their business objectives. There was some, commonality between them but generally each practice could be seen as unique, due to its location, patient population, and motivation of the GPs.

The main way in which this subject was examined was through a pilot study, then subsequently four in depth case studies. This helped show the areas where the practice did well and places where it did not. It was from observations in the pilot that four dimensions of practice management were proposed. These areas of "managerial competence, were then broken down into specific parts and employed in an analytical inventory for General Medical Practice. This was called the Practice Audit Matrices (PAM). The four dimension where i) Management values and methods, ii) Concern for operational efficiency and income Maximation. iii) The focus of service delivery, iv) Clinical standardisation and the relation ship between clinical principals.

Some practical application was envisaged from PAM. If a practice could identify its weaknesses along four dimensions it could decide where there was scope for further investigation or audit. It might help order a list of priorities for action and assist in monitoring how well the problems were addressed.

Item Type:	Thesis
Creators:	Best, W.A.A.
Date:	1999
ISBN:	9781369317121
Identifiers:	Number Type PQ10183548 Other
Divisions:	Schools > Nottingham Business School
Record created by:	Jeremy Silvester
Date Added:	01 Oct 2020 13:26
Last Modified:	20 Sep 2023 10:14
URI:	https://irep.ntu.ac.uk/id/eprint/41064

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