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The availability and delivery of health care is one of the most important issues on the contemporary American public policy agenda. The authors analyze the social, psychological, and bureaucratic boundaries that define health care in the United States, discuss how organizational change affects these boundaries, and suggest broad strategies for managing them. A new introduction by the authors contributes to the currency of this book, which was originally published by Charles C. Thomas in 1993.
From the Introduction to the Percheron Press Edition . . .
'This book helps the reader understand the social and psychological aspects of territoriality and turfism and gives a range of examples and vignettes to illustrate the dynamics of boundaries among health professionals, and between health professionals and others with whom they interact both inside and outside the health care conglomerate.'
'Clearly, there are many issues related to boundaries and territoriality in the health care professions that must be addressed as we move into the 21st century. This interesting and absorbing work makes a contribution by increasing our awareness of issues that are often not acknowledged or, if acknowledged, allowed to persist. In doing so, the book may help bring about needed changes in health care organizations and disciplines.' (Deanna R. Perlmutter, New England Journal of Medicine)
John G. Bruhn, New Mexico State University, Las Cruces, New Mexico
Harold Grumet Levine, University of Texas Medical Branch at Galveston, Galveston, Texas
Paula L. Levine, University of Texas Medical Branch at Galveston, Galveston, Texas
Introduction to the Percheron Press Edition
Chapter 1. About Boundaries
Chapter 2. Boundaries in Organizations
Chapter 3. Boundary Issues in the Health Professions
Chapter 4. Interactions Between Boundaries and Personality
Chapter 5. Boundary Conflicts in Organizations and Groups
Chapter 6. Effects of Organizational Change on Boundary Management
Chapter 7. Managing Boundary Diversity and Change
Summary
Appendixes
Index