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Work Intensification for Personal Service Attendants and Medical Scientists

  • Eileen Willis
  • Kerryn Weekes

Abstract

The processes used for achieving reform in the public healthcare sector in Australia have taken two directions. The initial strategy employed by governments was to introduce efficiency measures into the sector via policy directives that usually tied funding to productivity. These have been broadly defined elsewhere in this book as the strategies of New Public Management. The introduction of Casemix diagnosis related groups (DRGs) and the incentives built into the various Medicare Agreements are two examples of this approach. This strategy motivated many hospital managers to engage in workplace reform with financial assistance provided by both Labor and Liberal-National Federal Governments through such incentive programs as the National Hospital Demonstration Program. The second strategy has been industrial relations reform aimed at increasing workplace flexibility in order to increase productivity and efficiency gains. Both reform strategies have impacted on the working life of health professionals and occupational groups in the sector.

Keywords

Medical Scientist Occupational Group Industrial Relation South Australia Healthcare Industry 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Abbott Diagnostics (1993) ‘Beckman SYNCHRON CX5CE to be Released’ Australian Journal of Medical Science, 14, pp. 83–5.Google Scholar
  2. Australian Council of Trade Unions [ACTU] (1999) Employment Security and Working Hours — A National Survey of Current Workplace Issues (ACTU) July.Google Scholar
  3. Australian Institute of Health and Welfare [AIHW] (1998) Health and Community Labour Force 1996 (Canberra: Australian Institute of Health and Welfare).Google Scholar
  4. Allan, C. (1998) ‘The Elasticity of Endurance: Work Intensification and Workplace Flexibility in a Queensland Public Hospital’ New Zealand Journal of Industrial Relations, 23(3), pp. 133–51.Google Scholar
  5. Badovinac, C., Wilson, S. and Woodhouse, D. (1999) ‘The Use of Unlicensed Assistive Personnel and Selected Outcome Indications’ Nursing Economics, 17(4), pp. 194–200.Google Scholar
  6. Beynon, H., Gromshaw, D., Rubery, J. and Ward, K. (2002) Managing Employment Change: The New Realities of Work (Oxford: Oxford University Press).CrossRefGoogle Scholar
  7. Brannon, R. (1996) ‘Restructuring Hospital Nursing: Reversing the Trend Toward a Professional Workforce’ International Journal of Health Services, 26, pp. 643–54.CrossRefGoogle Scholar
  8. Bremner, J. and Kelly, R. (2000) ‘The Medical Scientist’s Association of Victoria: A Case Study of Professional Trade Unionism in the 1990’s ‘in Unions 2000, Retrospect and Prospect Conference (Melbourne: Monash University).Google Scholar
  9. Brooker, J. (1997) An Evaluation of Casemix Funding in South Australia 1994–95 (Adelaide: Casemix Development Program Commonwealth Department of Health and Family Services and the South Australian Health Commission).Google Scholar
  10. Considine, G. and Buchanan, J. (2002) The Hidden Costs of Understaffing. Analysis of Contemporary Nurses’ Working Conditions in Victoria (Sydney: Australian Centre for Industrial Relations Research and training [ACIRRT] University of Sydney).Google Scholar
  11. Daykin, N. and Clarke, B. (2000) ‘“They’ll Still get the Bodily Care” Discourses of Care and Relationships Between Nurses and Health Care Assistants in the NHS’ Sociology of Health and Illness, 22, pp. 349–65.CrossRefGoogle Scholar
  12. Deeble, J. and Lewis-Hughes, P. (1991) Directions for Pathology (Canberra: Australian National University).Google Scholar
  13. Deloitte, Touche and Tohmatsu (1993) Ministerial Reference Group-Review of Pathology Services in the Parkville Area (Melbourne: Deloitte, Touche and Tohmatsu).Google Scholar
  14. Duckett, S. (1995) ‘Hospital Payment Arrangements to Encourage Efficiency: The Case of Victoria, Australia’ Health Policy, 34, pp. 113–34.CrossRefGoogle Scholar
  15. Eichenbaum, S. (1999) Benefits of Union Membership (Melbourne: Medical Scientists and Pharmacists Association).Google Scholar
  16. Fox, C. (1998) ‘Collective Bargaining and Essential Services: “The Australian Case”’ The Journal of Industrial Relations, 40, pp. 277–303.CrossRefGoogle Scholar
  17. Gardner, H. and McCoppin, B. (1994) ‘Struggle for Survival by Health Therapists, Nurses and Medical Scientists’ in H. Gardner (ed.) The Politics of Health (Melbourne: Churchill Livingstone) pp. 371–428.Google Scholar
  18. Gough, R. and Fitzpatrick, M. (2002) ‘Reluctant Managers: Nurses Surviving Despite the Bottom Line’, Paper Presented to the Workforce Issues in the Health Sector Conference (Newcastle).Google Scholar
  19. Green, F. and McIntosh, S. (2001) ‘The Intensification of Work in Europe’ Labour Economics, 8, pp. 291–308.CrossRefGoogle Scholar
  20. Green, F. (2004) ‘Why Has Work Effort Become More Intense?’ Industrial Relations, 43, pp. 709–41.Google Scholar
  21. Houson, C. (1996) ‘Unlicensed Assistive Personnel: a Solution to Dwindling Health Care Resources or the Precursor to the Apocalypse of Registered Nursing? Nursing Outlook, 44, pp. 67–73.CrossRefGoogle Scholar
  22. James, J. (1995) Human Resource Consequences of Technology — Driven Multi-Disciplined Laboratories in Australian Blood Transfusion Services (Melbourne: Melbourne Business School University of Melbourne).Google Scholar
  23. Kearney, B. and Whitfield, J. (1991) Review of Pathology Services in Inner North and West Melbourne (Melbourne: Health Department Victoria).Google Scholar
  24. Kelly, R. (2001) Annual Report (Melbourne: The Medical Scientists Association of Victoria, Health Services Union of Australia No. 4 Branch and the Victorian Psychologists Association, 2001).Google Scholar
  25. Morris, R. (1996) ‘The Age of Workplace Reform in Australia’ in D. Mortimer, P. Leece and R. Morris (eds) Workplace Reform and Enterprise Bargaining (Sydney: Harcourt Brace).Google Scholar
  26. O’Donnell, M. (1995) ‘Empowerment or Enslavement? Lean Production, Immigrant Women and Service Work in Public Hospitals’ Labour and Industry, 6, pp. 73–94.CrossRefGoogle Scholar
  27. Peterson, C. (1999) Stress at Work: A Sociological Perspective (New York: Publishing Company).Google Scholar
  28. Rance, C. (2002) ‘Workers Suffer in Corporate Shuffles’ in The Age (Melbourne) 23/3/2002, p. G1.Google Scholar
  29. Royal College of Pathologists Australia (date unknown) ‘Pathology Workforce in Australia: Fact Sheet’ http://www.rcpa.edu.au/(Accessed 14/9/2004).
  30. Services (2001) Review of the Pathology Services Accreditation Act 1984 (Melbourne: Victorian Government Department of Human Services).Google Scholar
  31. Stanton, P. (2002) Changing Employment Relations in Public Hospitals 1992–1999 (Bundoora: School of Public Health, Faculty of Health Sciences, La Trobe University).Google Scholar
  32. Teicher, J. and van Gramberg, B. (1998) ‘Industrial Relations and Public Sector Reform’ Australian Journal of Public Administration, 57, pp. 60–67.CrossRefGoogle Scholar
  33. Weekes, K., Peterson, C. and Stanton, P. (2001) ‘Stress and the Workplace: The Medical Scientists’ Experience’ Labour and Industry, 11, pp. 95–120.CrossRefGoogle Scholar
  34. Weekes, K. (2003) The Impact of Workplace Change on Medical Scientists in Victoria, Masters of Health Sciences Thesis (Melbourne: La Trobe University, School of Public Health).Google Scholar
  35. White, N. and Bray, M. (2004) ‘The Changing Role of Nursing Unit Managers: a Case of Work Intensification Labour and Industry, 14(2), pp. 1–20.CrossRefGoogle Scholar
  36. Whitfield, J., Bell, W. and Groot Obbink, D. (1993) Competency-based Standards for Medical Scientists (Canberra: Australian Government Publishing Service).Google Scholar
  37. 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
  38. Young, S. (2002) ‘Outsourcing and Downsizing: Processes of Workplace Change in Public Health’ The Economic and Labour Relations Review, 13(2), pp. 244–69.CrossRefGoogle Scholar

Copyright information

© Contributors 2005

Authors and Affiliations

  • Eileen Willis
  • Kerryn Weekes

There are no affiliations available

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