In Europe, public schools are more and more going to be run as autonomous schools. From the point of view of the educational system, the current school reform is a process of decentralisation of competences and centralisation of control and regulations. At the level of schools as organizations, reforms concern organizational and pedagogical matters. Organizational autonomy and curriculum autono...

Cream skimming can be defined as the selective treatment of patients that demand few resources while providing high economic refunds. We test whether cream skimming occurs after the introduction of DRG-based activity-based financing (ABF) in Norway in 1997 and if the problem further increased after the 2002 organizational reform when hospitals were turned into trusts. The DRG-system offers the ...

Findings Acceptance of Medi-Cal was associated with shorter wait times, whereas organizational readiness for change was positively related to treatment duration. Staff attributes were negatively related to treatment duration. Finally, compared to low program capacity, high program capacity was negatively associated with wait time and positively related to treatment duration. Conclusions Program...

We typically think of acutely and chronically mentally ill patients as those who belong in psychiatric hospitals and the latter category of patients belonging in "regular" hospitals, but the intersection of physical and mental illness draws attention to important challenges for policy makers and organizational leaders. This article illuminates some broad trends in the health status of people wi...

All levels of government have begun to pursue results-based reforms, which assume that managers will use performance information to make better decisions. However, reforms have neglected the insights of a large and relevant literature on organizational learning. This article revisits this literature, treating results-based reform as an organizational learning mechanism and a deliberate structur...

BACKGROUND Healthcare reforms initiated in the early 2000s in Québec involved the implementation of new modes of primary healthcare (PHC) delivery and the creation of Health and Social Services Centers (HSSCs) to support it. The objective of this article is to assess and explain the degree of PHC organizational change achieved following these reforms. METHODS We conducted two surveys of PHC o...

PURPOSE To study the design and distribution of different organizational solutions regarding the responsibility for and provision of home care for elderly in Swedish municipalities. METHOD Directors of the social welfare services in all Swedish municipalities received a questionnaire about old-age care organization, especially home care services and related activities. Rate of response was 73...

today, a correct understanding and skills necessary to reform affairs as well as a culture based on knowledge and continuous learning in the organizations are important elements in the management of sports organizations. so the present study aimed to investigate the relationship between triple management skills (conceptual, humanistic, technical) and organizational learning in managers of physi...

Since the 1950s Federal Courts have become extensively involved in reform of public institutions response to complaints minority and disadvantaged groups. Many judges, cognizant unusual complex nature their task, chosen novel participatory forms case management. Using literature, this paper tries identify major forces which influence choice, explores conditions under structures may or not be in...