Health Sector and Industrial Reform in Australia

  • Eileen Willis
  • Suzanne Young
  • Pauline Stanton

Abstract

This chapter introduces the reader to the Australian health sector under three main headings in order to provide background to subsequent chapters. The first section describes the Australian healthcare sector and outlines key features in relation to finance, organization, employment and control of health professionals. The second section examines the health sector reform process, exploring the main drivers for reform and the policy and management initiatives that were incorporated within a New Public Management approach. The third section outlines the industrial relation reform strategies and their impact on the healthcare sector.

Keywords

Income Kelly Abate Sonal 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Australian Bureau of Statistics (1999) Employee Earnings and Benefits and Trade Union Membership Catalogue no 6310.1 (Canberra: Australian Bureau of Statistics).Google Scholar
  2. Australian Health Association [AHA] (1993) ‘Reform in the Health Workplace’, Proceedings from the AHA Industrial Relations Seminar 23 September (Canberra: Australian Hospital Association).Google Scholar
  3. Australian Institute of Health and Welfare (AIHW) (1998) Australia’s Health 1998 (Canberra: Australian Institute of Health and Welfare).Google Scholar
  4. Australian Institute of Health and Welfare (AIHW) (2000) Australia’s Health 2000 (Canberra: Australian Institute of Health and Welfare).Google Scholar
  5. Australian Institute of Health and Welfare (AIHW) (2001) Health and Community Services Labour Force 2001 Catalogue 27/ABS. No. 8936.0 (Canberra: Commonwealth Government Printer).Google Scholar
  6. Australian Institute of Health and Welfare (AIHW) (2004) Australia’s Health 2000 (Canberra: Australian Institute of Health and Welfare).Google Scholar
  7. Bach, S. (2000) ‘Health Sector Reform and Human Resource Management: Britain in Comparative Perspective’ International Journal of Human Resource Management, 11, pp. 925–42.CrossRefGoogle Scholar
  8. Bloom, A. (2000) Health Reform in Australia and New Zealand (Oxford: Oxford University Press).Google Scholar
  9. Boyce, R. (1998) ‘The Allied Health Professions’ in Clinton M. and Scheiwe D. (eds) Management in the Australian Health Care Industry (2nd edition) (Sydney: Addison Wesley Longman Australia).Google Scholar
  10. Braithwaite, J. (1997) Workplace Industrial Relations in the Australian Hospital Sector (Sydney: School of Health Services Management University of New South Wales).Google Scholar
  11. Briggs, C. (2001) ‘Australian Exceptionalism: The Role of Trade Unions in the Emergence of Enterprise Bargaining’ The Journal of Industrial Relations, 43(1), pp. 27–43.CrossRefGoogle Scholar
  12. Cairney, P. (2002) ‘New Public Management and the Thatcher Healthcare Legacy: Enough of the Theory: What about the Implementation?’ British Journal of Politics and International Relations, 4, pp. 375–98.CrossRefGoogle Scholar
  13. Dabscheck, B. (1995) The Struggle for Australian Industrial Relations (Melbourne: Oxford University Press).Google Scholar
  14. Daniel, A. (1990) Medicine and the State (Sydney: Allen and Unwin).Google Scholar
  15. Deery, S., Plowman, D. and Walsh, J. (1997) Industrial Relations: A Contemporary Analysis (NSW: McGraw Hill).Google Scholar
  16. Department of Health and Human Service (2003) Allied Health Professional Workforce Planning Project Workforce Mapping Report (Tasmania: Department of Health and Human Services).Google Scholar
  17. Donato, R. and Scotton, R. (1998) ‘The Australian Healthcare System’ in G. Mooney and R. Scotton (eds) Economics and Australian Health Policy (St Leonards: Allen and Unwin).Google Scholar
  18. Draper, M. (1999) ‘Casemix: Financing Hospital Services’ in L. Hancock (ed.) Health Policy in the Market State (NSW: Allen & Unwin) Ch. 7, pp. 131–48.Google Scholar
  19. Duckett, S. (1998) ‘Economics of Hospital Care’ in Mooney, G. and Scotton, R. (eds), Economics and Australian Health Policy (St Leonards: Allen and Unwin).Google Scholar
  20. Duckett, S. (1999) ‘Commonwealth/State Relations in Health’ in L. Hancock (ed.) Health Policy in the Market State (NSW: Allen and Unwin) Ch. 4, pp. 71–86.Google Scholar
  21. Duckett, S. (2000) ‘The Australian Health Workforce: Facts and Futures’ Australian Health Review, 23(4), pp. 60–77.CrossRefGoogle Scholar
  22. Duckett, S. and Hunter, L. (1999) Health Services Policy Review: Final Report Victorian Government Department of Human Services, November, http://www.dhs.vic.gov.au/ahs/servrev/index.htm (Accessed 2nd April 2001).Google Scholar
  23. Evans, R. G. (1995) ‘Healthy Populations or Healthy Institutions: The Dilemma of Healthcare Management’ The Journal of Health Administration Education, 13(3), pp. 453–72.Google Scholar
  24. Faircheallaigh, C., Wanna, J. and Weller, P. (1999) Public Sector Management in Australia: New Challenges, New Directions (2nd edn) (Sth Yarra: Macmillan Education).Google Scholar
  25. Ferlie, E. (1998) ‘The New Public Management in the United Kingdom, Origins and Implementation’, Paper given at the Managerial Reform of the State. International seminar, Brasilia, November, {Online} http://www.tce.sc.gov.br/biblioteca/artigos/newpubmanagement.html (Accessed 10th November 2001).Google Scholar
  26. Fox, C., Howard, W. and Pittard, M. (1995) Industrial Relations in Australia: Development, Law and Operation (Melbourne: Longman).Google Scholar
  27. Freidson, E. (1970) Profession of Medicine (New York: Harper and Row).Google Scholar
  28. Grbich, C. (2002) ‘Moving away from the Welfare State: Privatisation of the Health Care System’ in S. Barraclough and H. Gardner (eds) Health Policy in Australia (South Melbourne: Oxford University Press).Google Scholar
  29. Harkness, A. (1999) ‘Prognosis Negative: Healthcare Economics and the Kennett Government’ in B. Costar and N. Economou, N. (eds) The Kennett Revolution (Sydney: NSW Press) pp. 203–13.Google Scholar
  30. Harrison, S. and Pollitt, C. (1994) Controlling Health Professionals (Buckingham: Open University Press).Google Scholar
  31. Industry Commission (1995) Competitive Tendering and Contracting by Public Sector Agencies (Melbourne: Australian Government Printing Services).Google Scholar
  32. Keenoy, T. and Kelly, D. (1996) The Employment Relationship in Australia (Marrickville NSW: Harcourt Brace).Google Scholar
  33. MacDermott, T. (1997) ‘Industrial Legislation in 1996: The Reform Agenda’ The Journal of Industrial Relations, 39(1), pp. 52–76.CrossRefGoogle Scholar
  34. Macdonald, D., Campbell, I. and Burgess, J. (2001) ‘Ten Years of Enterprise Bargaining in Australia: An Introduction’ Labour and Industry, 12(1), pp. 1–25.CrossRefGoogle Scholar
  35. McCoppin, B. and Gardner, H. (1994) Tradition and Reality: Nursing and Politics in Australia (Melbourne: Churchill Livingstone).Google Scholar
  36. O’Brien, J. (1997) ‘Occupational and Professional Identity as an Industrial Strategy in the New Zealand State Sector’ The Journal of Industrial Relations, 39(4), pp. 499–517.CrossRefGoogle Scholar
  37. Reid, B., Palmer, G. and Aisbett, C. (2000) ‘The Performance of Australian DRGs’ Australian Health Review, 23, pp. 20–31.CrossRefGoogle Scholar
  38. Rimmer, S. (1995) Australian Labour Market and Microeconomic Reform, La Trobe University Press, Melbourne.Google Scholar
  39. Stanton, P. (2002) Employment Relations in Victorian Public Hospitals: 1992–1999 Unpublished PhD thesis (School of Public Health, La Trobe University).Google Scholar
  40. Thornley, C. (1998) ‘Contesting Local Pay: The Decentralisation of Collective Bargaining in the NHS’ British Journal of Industrial Relations, 36(3), pp. 413–34.CrossRefGoogle Scholar
  41. Twaddle, A. (1996) ‘’Health Systems Reforms: Toward a Framework for International Comparisons’ Social Science and Medicine, 43(5), pp. 637–54.CrossRefGoogle Scholar
  42. White, K. and Collyer, F. (1998) ‘Health Care Markets in Australia: Ownership of the Private Hospital Sector’ International Journal of Health Services, 28, pp. 487–510.CrossRefGoogle Scholar
  43. White, K. (2001) ‘What’s happening in General Practice: Capitalist Monopolisation and State Administrative Control: A Profession Bailing out’ Annual Review of Health Social Science, 10, pp. 5–18CrossRefGoogle Scholar
  44. Willis, E. (2002) ‘Enterprise bargaining and Work Intensification: An Atypical Case Study from the South Australian Public Hospital Sector’ New Zealand Journal of Industrial Relations 27(2), pp. 221–32.Google Scholar
  45. Willis, E. (2004) Accelerating Control: An Ethnographic Account of the Impact of Micro-economic Reform on the Work of Health Professionals Unpublished PhD thesis (School of Social Inquiry, University of Adelaide).Google Scholar
  46. Young, S. (2004) An Analysis of Outsourcing in the Victorian Public Health Sector Unpublished PhD thesis (Bowater School of Management and Marketing, Deakin University).Google Scholar

Copyright information

© Contributors 2005

Authors and Affiliations

  • Eileen Willis
  • Suzanne Young
  • Pauline Stanton

There are no affiliations available

Personalised recommendations