A central motif of health reforms around the world has been the drive to persuade doctors and other clinical professionals to become more actively engaged in the management of services. Examples include moves to extend the commissioning role of primary care doctors (such as general practitioners in the UK) and the introduction of 'clinical directorates' in secondary care.
We address this matter by suggesting a framework for making international comparisons. After defining what we mean by the development of clinical management roles, we outline a model, which proposes that this process is likely to be mediated by three significant variables
Read the paper: http://onlinelibrary.wiley.com/doi/10.1111/j.1742-1241.2011.02844.x/pdf
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