Health Care Analysis

, Volume 3, Issue 4, pp 339–344 | Cite as

Managing (In)differently: The management and delivery of Australian nursing care under the economic rationalists

  • Mary Chiarella
  • Cheryl Cordery
Feature Nursing Analysis


Economic (mis)management in Australia has understandably been influenced by the experiences of countries such as the UK and the USA with which Australia has traditionally had a close relationship. However, the uncritical acceptance of economic rationalism is an indication of our nation's seduction by the possibility of a ‘quick fix’ for a struggling economy. In accepting economic rationalism there has been a dismissal, or at least a failure to take account of, both past Australian experiences and the overseas experience—including the recent experience of a close neighbour, New Zealand, whose health system is under severe strain.

The introduction of economic rationalist programmes into the Australian health sector was an attempt to contain expenditure and at the same time reduce dependence on the public system. This has failed to happen on both counts. Its only real ‘achievement’ has been to produce yet more evidence of the practical inadequacies of economic rationalism in general.


Health System Economic Rationalism Recent Experience Health Sector Nursing Care 
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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Copyright information

© John Wiley & Sons, Ltd. 1995

Authors and Affiliations

  • Mary Chiarella
  • Cheryl Cordery
    • 1
  1. 1.Quality Management and Information ServicesNew South Wales College of NursingAustralia

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