Managing Change in Bureaucratic Health Care Organisations. a Case Study of a Quality Improvement Project in Zimbabwe

@inproceedings{BlaiseManagingCI,
  title={Managing Change in Bureaucratic Health Care Organisations. a Case Study of a Quality Improvement Project in Zimbabwe},
  author={Pierre Blaise and Guy Kegels}
}
Improving quality in health care means implementing change. Public health services in most African countries are hierarchical and rule-based organisations close to the machine type of bureaucracy according to Mintzberg's typology. How can a conformity-based culture of stability accommodate the innovative culture of change promoted by quality management? We present a case study from a health district of Zimbabwe, which runs an action-research programme for quality improvement. Since 1992, the… CONTINUE READING
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References

Publications referenced by this paper.
Showing 1-9 of 9 references

Mintzberg, organisation's configuration and quality management in health care, Quality in "professional organisations" -Higher Education and Health Care

  • Blaise, P Kegels
  • Proceedings. Fourth "Toulon-Verona" Conference…
  • 2001

District Health Systems Management Project (DHSM) Tsholotsho district (Matabeleland North Province), Murewa district (Mashonaland East Province), Zimbabwe

  • Chimbadzwa, T Daveloose
  • Evaluation Report Bruxelles: Ministry of Child…
  • 2000

Health systems research -a clearer methodology for more effective action Studies in Health Services Organisation & Policy

  • Grodos, D Mercenier
  • Health systems research -a clearer methodology…
  • 2000

Ayutthaya research project: Thailand experiences on health systems research., Life sciences and technologies for developing countries: methodology and relevance of health system research

  • Nitayarumphong, S Mercenier
  • Research reports. Contractholders Meeting…
  • 1992

Le Management -Voyage au centre des organisations Paris: Editions d'Organisation

  • Mintzberg
  • Le Management -Voyage au centre des organisations…
  • 1989

Declaration on Strengthening District Health systems Besed on Primary health care. International meeting on strengthening district health systems

  • Harare Zimbabwe
  • 1987

The structuring of organizations, a synthesis of the research New Jersey

  • Mintzberg
  • The structuring of organizations, a synthesis of…
  • 1979

L'acteur et le système. 1977 edn

  • M Crozier, E Friedberg
  • L'acteur et le système. 1977 edn
  • 1977
1 Excerpt

Le phénomène bureaucratique Paris: Editions du Seuil

  • M Crozier
  • Le phénomène bureaucratique Paris: Editions du…
  • 1963
1 Excerpt

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