"The Variable Impact of New Public Management and Budget Cuts on the Work Intensification of Nurses and Doctors in one Public Hospital in South Australia Between 1994 and 2000"
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Date
2005
Authors
Willis, Eileen Mary
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Publisher
National Institute of Labour Studies
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Abstract
"This paper explores the impact of new public management and budget cuts on the
work intensification of nurses and doctors in one Australia public hospital during
the 1990s. These were the time-based incentives built into the Medicare Agreements
of 1993-1998 and 1998-2003, and casemix Diagnosis Related Groups. These two
‘reforms’ were part of a broader micro-economic strategy underpinned by new
public management processes employed by the state to increase the productivity of
health professionals. The impact of these reforms on the labour of health professions
was variable, however. Documentary evidence from a study conducted in a public
acute hospital in South Australia, called ‘Westernvale’, illustrates that during the
period 1994-2001, these reforms resulted in a longer period of work intensification,
for the profession of nursing than that of medicine."
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Citation
"Willis, E., 2005. The Variable Impact of New Public Management and Budget Cuts on the Work Intensification of Nurses and Doctors in one Public Hospital in South Australia Between 1994 and 2000. Australian Bulletin of Labour, Vol. 31 No. 3, pp. 255-269"