Managing the myths of health care : bridging the separations between care, cure, control, and community / Henry Mintzberg.

Format:

Book

Author/Creator:

Mintzberg, Henry, author.

Language:

English

Subjects (All):

Public health--Social aspects.

Public health.

Physical Description:

1 online resource (176 pages)

Edition:

1st ed.

Place of Publication:

Oakland, California : Berrett-Koehler Publishers, Inc., 2017.

Summary:

“Health care is not failing but succeeding, expensively, and we don't want to pay for it. So the administrations, public and private alike, intervene to cut costs, and herein lies the failure.” In this sure-to-be-controversial book, leading management thinker Henry Mintzberg turns his attention to reframing the management and organization of health care. The problem is not management per se but a form of remote-control management detached from the operations yet determined to control them. It reorganizes relentlessly, measures like mad, promotes a heroic form of leadership, favors competition where the need is for cooperation, and pretends that the calling of health care should be managed like a business. “Management in health care should be about dedicated and continuous care more than interventionist and episodic cures.” This professional form of organizing is the source of health care's great strength as well as its debilitating weakness. In its administration, as in its operations, it categorizes whatever it can to apply standardized practices whose results can be measured. When the categories fit, this works wonderfully well. The physician diagnoses appendicitis and operates; some administrator ticks the appropriate box and pays. But what happens when the fit fails—when patients fall outside the categories or across several categories or need to be treated as people beneath the categories or when the managers and professionals pass each other like ships in the night?To cope with all this, Mintzberg says that we need to reorganize our heads instead of our institutions. He discusses how we can think differently about systems and strategies, sectors and scale, measurement and management, leadership and organization, competition and collaboration. “Market control of health care is crass, state control is crude, professional control is closed. We need all three—in their place.” The overall message of Mintzberg's masterful analysis is that care, cure, control, and community have to work together, within health-care institutions and across them, to deliver quantity, quality, and equality simultaneously.

Contents:

Cover

Title

Copyright

Contents

Overview

This Book in Brief

Yet Again?

MANAGEMENT? or management?

A Few Cautions

PART I: MYTHS

1. MYTH #1 We have a system of health care.

2. MYTH #2 The system of health care is failing.

Suffering from Success

More for Less?

3. MYTH #3 Health care institutions, not to mention the whole system, can be fixed with more heroic leadership.

The Position of Heroic Leadership

The Person as Heroic Leader

The Quest for a Regular Leader

4. MYTH #4 The health care system can be fixed with more administrative engineering.

Fads, Fallacies, and Foolishness

Re-engineering the Health Care Factory

When in Doubt, Reorganize

Use Pretend Markets When You Can't Get Away with Real Ones

Merge Like Mad

The Myth of Scale

Keeping the Baby

5. MYTH #5 The health care system can be fixed with more categorizing and commodifying to facilitate more calculating.

Categorization for Commodification for Calculation

Beyond, Across, and Beneath the Categories

Some Myths of Measurement

Analyst, Analyze Thyself

6. MYTH #6 The health care system can be fixed with increased competition.

Is American Competition the Model?

Porter and Teisberg on the "Right Kind" of Competition

Does Competition Necessarily Foster Innovation?

Is This Really About Competition?

The Cost of Competition

Cooperation, Not Individualization

7. MYTH #7 Health care organizations can be fixed by managing them more like businesses.

Herzlinger on this Business of Health Care

When Being a Business Is Bad for our Health Care

When Acting Like a Business is hardly Better

Health Care as a Calling

Summing Up the Fixes.

8. MYTHS #8 AND #9 Overall, health care is rightly left to the private sector, for the sake of efficiency and choice. Overall, health care is rightly controlled by the public sector, for the sake of equality and economy.

The Great Divide?

Beyond Crude and Crass

Welcome to the Plural Sector for the Sake of Quality and Engagement

Plural Ownership and the Commons

Plural, Public, or Private?

Engagement and Communityship in the Plural Sector

Disengagement in the Plural Sector

PART II : ORGANIZING

9. Differentiating

The Specialized Players of Health Care

The Quadrants of Health Care

The Practices of Health Care

10. Separating

Curtains across the Practices

Sheets over the Patients

Walls and Floors between the Administrators

11. Integrating

Mind the Gaps

The Mechanisms of Coordination

Forms of Organizing

PART III: REFRAMING

12. REFRAMING MANAGEMENT: As distributed beyond the "top"

13. REFRAMING STRATEGY: As venturing, not planning

14. REFRAMING ORGANIZATION: As collaboration transcending competition, culture transcending control, communityship transcending leadership

Enough of the Separations

Enough of the Controls

Enough of the Obsession with Leadership

Enough of all that Competition

Toward Collaboration

Toward Communityship

Culture for Collaboration and Communityship

15. REFRAMING THE PRACTICE OF MANAGING: As caring before curing

Leadership Embedded in Management

Heroic Leadership or Engaging Management?

Choosing the Flawed Manager

Co-management

Who Should Manage Health Care?

16. REFRAMING SCALE: As human beyond economic

17. REFRAMING OWNERSHIP: As plural and common alongside public and private

Roles for the Private Sector

Roles for the Public Sector

Roles for the Plural Sector.

18. REFRAMING HEALTH CARE OVERALL: As a system beyond its parts

Promoting a Systems Perspective

Downloading the Whole of Health Care into each of its parts

Connecting the parts

Attaining Cooperative Autonomy

Finally

References

Index

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

S

T

U

V

W

Z

The Author and the Others

About the Author

About the People behind the Author.

Notes:

Includes bibliographical references and index.

Description based on online resource; title from PDF title page (ebrary, viewed April 24, 2017).

ISBN:

9781626569072

162656907X

OCLC:

982451888