Abstract
The nature of the industry — health care — and the strong traditions associated with the delivery of that care suggest that the pattern of management of the staff at the point of service delivery will not alter dramatically as a result of changes in the financial and organizational systems. Customary elements in job task and hierarchies will remain more or less intact despite important changes in skill mix. The overwhelming impression is that whatever way the system is shaken up, the power of custom based on deeply held views on how to deliver health care will preserve the central structures and practices. It is likely, therefore, that the use of collective bargaining to determine pay and conditions of service will remain the dominant mechanism.
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Notes
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Ibid.
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Ibid., p. 2.
Ibid., p. 5.
Ibid., p. 11.
Ibid., p.11.
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Seifert, R. (1992). The market, collective bargaining and the survival of custom. In: Industrial Relations in the NHS. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3214-3_8
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