| Popis: |
Healthcare changed dramatically during the 20th century; industrialization lead to contention for control over medical work and there was a shift from autonomous, professional control to managerial, hierarchical control, which included a strong belief in technical rationality. The rise of scientific-bureaucratic medicine combined ideas from Taylorism (i.e., the “one best way.” separation of planning from activity, and the rise of a managerial class) and a rationalizing turn in medicine (e.g., evidence-based medicine) to produce a hybrid group of clinician-managers, who can retain control of healthcare in health professionals’ hands. The quality improvement effort preceded the safety movement in health care by about a decade. |
