000			01846naa a2200193uu 4500
001			7031517441023
003			OSt
005			20190211162820.0
008			070315s2007 xx ||||gr |0|| 0 eng d
100	1		_aHURLEY, Catherine. _931588
245	1	0	_a'Designing better health care in the South' : _ba case study of unsuccessful transformational change in public sector health service reform
260			_aOxford : _bBlackwell Publishers Limited, _cJune 2004
520	3		_aThis article presents a case study of a project known as 'Designing Better Health Care in the South' that attempted to transform four separately incorporated health services in southern Adelaide into a single regional health service. The project's efforts are examined using Kotter's (1996) model of the preconditions for transformational change in organisations and the areas in which it met or failed to meet these preconditions are analysed, using results from an evaluation that was commenced during the course of the attempted reform. The article provides valuable insights into an attempted major change by four public sector health organisations and the facilitators and barriers to such change. It also examines the way in which forces beyond the control of individual public sector agencies can significantly impact on attempts to implement organisational change in response to an identified need. This case study offers a rare glimpse into the micro detail of health care reform processes that are so widespread in contemporary health services but which are rarely systematically evaluated
700	1		_aBAUM, Fran. _931589
700	1		_aEYK, Helen Van _931590
773	0	8	_tAustralian Journal of Public Administration _g63, 2, p. 31-41 _dOxford : Blackwell Publishers Limited, June 2004 _xISSN 0313-6647 _w
942			_cS
998			_a20070315 _b1744^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c23165 _d23165
041			_aeng