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Modernizing public healthcare governance in Hong Kong : a case study of professional power in the New Public Management

By: CHEUNG, Anthony B. L.
Material type: materialTypeLabelArticlePublisher: UK : Taylor & Francis , set. 2002Public Management Review 4, 3, p. 343-365Abstract: The article examines Hong Kong's experience in modernizing corporatizing public healthcare governance in order to enhance management autonomy and service efficiency, against the backgroundof a previous regime of centralized departamental control and amid the worldwide trend of new public management. The reform, culminating in the establishment of a hospital authority, is found to be wrought with intense intrabureaucratic conflict,as well as rivalries between professional and administrative bureacrats, bew]tween professionals of different sector, and between medical and para-medical providersm instead os breaking up traditional professional monopoly and opening up the system to non-medical general management, corporatization has resulted in an unplanned entrenchment and re-empowerment of medical professional power
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The article examines Hong Kong's experience in modernizing corporatizing public healthcare governance in order to enhance management autonomy and service efficiency, against the backgroundof a previous regime of centralized departamental control and amid the worldwide trend of new public management. The reform, culminating in the establishment of a hospital authority, is found to be wrought with intense intrabureaucratic conflict,as well as rivalries between professional and administrative bureacrats, bew]tween professionals of different sector, and between medical and para-medical providersm instead os breaking up traditional professional monopoly and opening up the system to non-medical general management, corporatization has resulted in an unplanned entrenchment and re-empowerment of medical professional power

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