Purpose – The purpose of this article is to describe how an Improvement Engine methodology, based on self‐assessment and everyone's involvement, can be used in order to stimulate change and what experience and results it can generate. Design/methodology/approach – This article describes...

As in many countries today, health services across Canada are being restructured. Most jurisdictions within Canada are also restructuring and experimenting with the governance function of health‐delivery organizations. However, much of this governance reorganization is being done in a vacuum....

This study was carried out in a hospital trying to implement TQM. The purpose was to assess the effects of using TQM and thereby judging whether this use could be valid and to find some success factors for implementing TQM in this kind of organisation. Specific quality dimensions have been...

The NHS is largely dependent on two groups of professionals – medics and nurses. Recent government changes support the development of a central role for management. The impact of these changes on the roles and relationships of those working in the NHS must be understood in light of the...

Recent developments in performance measurement and reporting systems in the UK National Health Service (NHS) have created new challenges in costing health care services. In particular, the introduction of the “National Reference Costing Exercise” (NRCE) has substantively changed the way in...

There has been limited examination of the impact of public sector restructuring on affected officials. This paper seeks to address the imbalance. It discusses the case of the New Zealand Health Funding Authority, dissolved and merged in 2000 as part of a major health sector restructuring...

Purpose – This paper aims to develop a conceptual resilience‐based model that takes account of the competing success factors of patient safety, finance, improvement targets and staff workload in NHS hospitals in the UK. Design/methodology/approach – A safe working envelope model was...

Purpose – The purpose of this paper is to provide an empirical analysis on inpatient satisfaction in Malaysian public hospitals. Design/methodology/approach – A self‐administered questionnaire was the main data collection method. Altogether, 23 hospitals throughout Peninsular Malaysia...

Purpose – The paper aims to investigate the collective behaviour of boards of directors in 22 English National Health Service trusts and how this impacts on the exercise of their role and functions. Furthermore, it aims to shed light on the governance model characterising boards of health...

Examines recent reforms of the UK′s National Health Service (NHS), and explores the pressures for change in the pursuit of an efficient NHS and the conflicts which this causes in an organization which was based on the aim of equity. In particular, addresses the “false revolutions” of...