
TY  - JOUR
A1  - Degeling, Pieter 
A1  - Sage, David 
A1  - Kennedy, John 
A1  - Perkins, Rod 
A1  - Zhang, Kai 
T1  - A comparison of the impact of hospital reform on medical subcultures in some Australian and New Zealand hospitals
JF  - Australian Health Review
JO  - Aust. Health Review
Y1  - 1999
VL  - 22
IS  - 4
SP  - 172
EP  - 188
KW  - 
UR  - https://doi.org/10.1071/AH990172 
N2  - This article examines similarities and differences in the way that hospital staff in Australia and New Zealand are evaluating efforts to improve quality, clinical effectiveness and service integration, and to strengthen clinical accountability. We draw on data from a cross-national study of hospital staff in Australia and New Zealand. The results highlight the way in which respondents' views about reform are influenced by the interplay of two factors: the impact of respondents' occupational backgrounds (our findings point to differences in the profession-based subcultures of medicine, nursing and general management and the way that these are reflected in respondents' assessments of particular aspects of reform); and the way that the impact of professional subcultures may be mitigated by differences between the systems in which respondents were located, including differences between the programs of reform that have been pursued in each country. The implications of these findings are discussed. 
ER  -

