文章基本信息

标题：El modelo de acreditación del sistema sanitario público en Andalucía
本地全文：下载
作者：Manuel Morales Valero ; José María González González
期刊名称：Cuadernos de Relaciones Laborales
印刷版ISSN：1131-8635
电子版ISSN：1988-2572
出版年度：2017
卷号：35
期号：1
页码：187-208
语种：Spanish
出版社：Servicio de Publicaciones de la Universidad Complutense
摘要：. The implementation of the quality model proposed by the Andalusian regional government to manage its health system encounters various resistances that hinder the adoption of the model as a management tool by the stakeholders in the organisations that constitute the system. In this paper, we address this problem based on an analysis of discourse whereby, relying on the concept of interpretative repertoire put forward by Potter and Wetherell (1987). Next, we present the results of this analysis in terms of the characteristics of the objects that make up the system. These organizational objects explain the complex reality of health system showing the existence of implicit partial consensus (public nature of the health system; economic incentives do not useful for increasing motivation or the negative effect of the traditional politic manners into the public management) that it could give the option for a dialogic management model putting together all the interests towards the same strategic way.
关键词：Healthcare reforms;health management;neoliberalism;governmentality;healthcare organisations.;Reformas sanitarias;gestión sanitaria;neoliberalismo;gubernamentalidad;organizaciones sanitarias