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Taking the lead in fundholding

Cowton, Christopher J. and Drake, Julie E. (1999) Taking the lead in fundholding. Journal of Management in Medicine, 13 (4). pp. 218-233. ISSN 0268-9235

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Abstract

The prevalence of rather negative, or at best mixed, attitudes of doctors towards participation in management has been reported in several previous research studies. This paper adds to that growing empirical literature, but complements most of the previous studies by focusing on general medical practitioners in primary care rather than on doctors in secondary care settings. The focus for the study were doctors who had agreed to undertake the lead partner role in the now-defunct general practitioner fundholding initiative within the UK National Health Service. The findings indicate widespread reluctance but the presence of a minority of enthusiasts, which resonates with previous studies of secondary care settings. A finding of potential significance for future research and practice was that some doctors who were initially reluctant became more keen on undertaking a management role once they had experienced it.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Schools: Huddersfield Business School
Huddersfield Business School > Financial Ethics and Governance Research Group
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References: 1. Beginning on 1st April 1991, the implementation of fundholding proceeded in a series of annual ``waves''. The first wave set a minimum patient list size for fundholding applicants of 9,000, but subsequent waves gradually reduced that requirement. 2. It has not yet been possible to interview the lead partner, but the PIQ and fund/practice manager's interview have been completed and provide some useful insights. The difficulty of gaining access to the lead partner also says something about how the practice is run.Brazell, H. (1987), ``Doctors as managers'', Management Education and Development, Vol. 18 No. 2, pp. 95-102. Britten, N. and Fisher, B. (1993), ``Qualitative research and general practice'', British Journal of General Practice, Vol. 43 No. 372, pp. 270-1. Buchanan, D., Jordan, S., Preston, D. and Smith, A. (1997), ``Doctor in the process: the engagement of clinical directors in hospital management'', Journal of Management in Medicine, Vol. 11 No. 3, pp. 132-56. 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Depositing User: Sara Taylor
Date Deposited: 15 Feb 2008 14:49
Last Modified: 07 Apr 2018 19:30
URI: http://eprints.hud.ac.uk/id/eprint/530

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