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Coping With Change in the NHS: A Frontline District's Response to AIDS*

Published online by Cambridge University Press:  20 January 2009

Ewan Ferlie  and
Andrew Pettigrew
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Abstract

The core of this paper is a case study of how a District Health Authority (Paddington and North Kensington, now Parkside DHA following a recent merger with Brent DHA) in Inner London responded to a major new health care issue of the 1980s—Aids, but the paper also seeks to locate this case study material within wider debates. What theories are there of organisational change which could be used to illuminate policy and service change in the health care sector? How, indeed, do we best study change in health care organisations? The paper is thus in three parts. In the first section we identify some streams of literature which act as a frame of reference defining our initial research question and discuss implications for methodology. The second section presents the case itself, while the last section discusses some emerging findings.

Type
Articles
Information
Journal of Social Policy , Volume 19 , Issue 2 , April 1990 , pp. 191 - 220
Copyright
Copyright © Cambridge University Press 1990

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