Quality Management and Managerialism in Healthcare creates a
comprehensive and systematic international survey of various
perspectives on healthcare quality management together with some of
their most pertinent critiques. Chapter one starts with a general
discussion of the factors that drove the introduction of management
paradigms into public sector and health management contexts in the mid
to late 1980s. Chapter two explores the rise of risk awareness in
medicine; which, prior to the 1980s, stood largely in isolation to the
implementation of managerial performance targets. Chapter three
investigates the widespread adoption of performance management and
clinical governance frameworks during the 1980s and 1990s. This is
followed by Chapters four and five which examine systems based models of
patient safety and the evidence-based medicine movement as exemplars of
managerial perspectives on healthcare quality. Chapter six discusses
potential future avenues for the development of alternative perspectives
on quality of care which emphasise workforce involvement. The book
concludes by reviewing the factors which have underpinned the
managerialist trajectory of healthcare management over the past decades
and explores the potential impact of nascent technologies such as
'connected health' and 'telehealth' on future developments.