Rita Lapidus - Academia.edu (original) (raw)
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Papers by Rita Lapidus
This thesis is broadly concerned with the effects on human resources, in the Victorian health sys... more This thesis is broadly concerned with the effects on human resources, in the Victorian health system specifically, arising from a fundamental shift in economic policy from a philosophy of universal coverage and free care, to one of economic rationalism and the free hand of the market. This change in policy, evidenced in reduction in the amount of public expenditure, rationalization of services, case-mix funding, increased managerialism in the senior ranks of the public service, and an emphasis on service-delivery and user payment, combined with a policy of amalgamation of hospitals, caused major disruptions within the health system, which were reported to have extremely adverse effects on the survivors of these changes within the hospital system. Contrary to expected performance improvements, survivors reported negative feelings and behaviours, with detrimental consequences for morale and productivity. The present research was constructed with the aim of exploring over time, and in ...
This thesis is broadly concerned with the effects on human resources, in the Victorian health sys... more This thesis is broadly concerned with the effects on human resources, in the Victorian health system specifically, arising from a fundamental shift in economic policy from a philosophy of universal coverage and free care, to one of economic rationalism and the free hand of the market. This change in policy, evidenced in reduction in the amount of public expenditure, rationalization of services, case-mix funding, increased managerialism in the senior ranks of the public service, and an emphasis on service-delivery and user payment, combined with a policy of amalgamation of hospitals, caused major disruptions within the health system, which were reported to have extremely adverse effects on the survivors of these changes within the hospital system. Contrary to expected performance improvements, survivors reported negative feelings and behaviours, with detrimental consequences for morale and productivity. The present research was constructed with the aim of exploring over time, and in ...