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Shaping Health PolicyCase Study Methods and Analysis$
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Mark Exworthy, Stephen Peckham, Martin Powell, and Alison Hann

Print publication date: 2011

Print ISBN-13: 9781847427588

Published to Policy Press Scholarship Online: May 2012

DOI: 10.1332/policypress/9781847427588.001.0001

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Hospitals in trouble

Hospitals in trouble

Chapter:
(p.95) Six Hospitals in trouble
Source:
Shaping Health Policy
Author(s):

Joan Higgins

Publisher:
Policy Press
DOI:10.1332/policypress/9781847427588.003.0006

The notion that hospitals can do harm as well as good was not a new one when John Martin published ‘Hospitals in Trouble’ in 1984. Institutions that are designed to care for and treat sick people sometimes damage or, occasionally, kill them. It is a paradox that remains today in every health system and it is why this case study is of continuing importance. The roots of failure go very deep and can rarely be attributed to the actions of one or two rogue professionals. Things that go wrong have to be seen in the context of systemic failure, deriving from problems of organisational culture, poor leadership, and other complex factors.

Keywords:   NHS, inquiries, John Martin, health system, organisational culture, poor leadership

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