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Change in primary health care: new wine in old bottles?

John Newton (The University of Northumbria at Newcastle, Newcastle‐upon‐Tyne, UK)
Joanne Graham (The University of Northumbria at Newcastle, Newcastle‐upon‐Tyne, UK)
Kevin McLoughlin (The University of Northumbria at Newcastle, Newcastle‐upon‐Tyne, UK)
Alice Moore (The University of Northumbria at Newcastle, Newcastle‐upon‐Tyne, UK)
Duncan McTavish (The University of Northumbria at Newcastle, Newcastle‐upon‐Tyne, UK)

Journal of Management in Medicine

ISSN: 0268-9235

Article publication date: 1 March 2000

Abstract

Describes the findings from the first year of an evaluation of change at a PMS+ site in West Cumbria. The study has used qualitative methods including non‐participant observation at the site; face to face interviews with 28 clinical staff; group interviews with administrative and secretarial staff; and the collection of documents. Analysis of the data against a set of “outcome indicators” shows that significant progress has been made towards implementing the model of primary care delivery described in the pilot proposal. Multidisciplinary working is developing in the clinical action groups and the establishment of a primary care emergency unit has changed general practitioner workloads. The new organisation structure is not yet working wholly as anticipated but recently initiated changes are intended to strengthen the role and authority of the management board.

Keywords

Citation

Newton, J., Graham, J., McLoughlin, K., Moore, A. and McTavish, D. (2000), "Change in primary health care: new wine in old bottles?", Journal of Management in Medicine, Vol. 14 No. 1, pp. 37-47. https://doi.org/10.1108/02689230010340471

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MCB UP Ltd

Copyright © 2000, MCB UP Limited