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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

Conclusion

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.

Keywords

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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References

  1. 1.
    Horne, D. (1992). It's time for a think. In,The Trouble with Economic Rationalism, ed. by D. Horne, Scribe, Newham.Google Scholar
  2. 2.
    Gale, F. (1991). Technology-driven education. In,Boyer Lectures 1991 Changing Australia, by F. Gale and I. Lowe, ABC, Sydney.Google Scholar
  3. 3.
    Williams, R. (1992).Remission Impossible: The Future of the Australian Health Industry, Jacaranda Press, Milton.Google Scholar
  4. 4.
    Cordery, C. (October 1992). The politics of displacement: the case of high dependency nursing and curriculum in the age of economic rationalism. Paper presented at the5th National Nursing Education Conference, Today's Education Formula: Tomorrow's Nursing Practice, Sydney.Google Scholar
  5. 5.
    As recent as 1992, the Federal Minister for Higher Education, Mr Baldwin, stated that the application of vocational competency standards would not be extended to university level training in the professions. Matchett, S. (1992). Baldwin draws lines on training. Higher Education Supplement No. 653,The Australian, 18 November, 15.Google Scholar
  6. 6.
    See for example Walker, K. and Robinson, A. (September 1994). Courting competency: rhetoric and reality in the politics of performance. Paper presented at the6th National Nursing Education Conference, Educating for Excellence: Pathways to Professional Development, Canberra.Google Scholar
  7. 7.
    Mannix, J., van der Reit, P. and Davies C. (September 1994). From theory to practice: integrating ANRAC competencies into clinical praxis assessment. Proceedings of the6th National Nursing Education Conference, Educating for Excellence: Pathways to Professional Development, Conference Committee, Canberra.Google Scholar
  8. 8.
    Cordery, C. (1995). Doing more with less: nursing and the politics of economic rationalism in the 1990s. In,Issues in Australian Nursing 4, ed. by G. Gray and R. Pratt, Churchill Livingstone, Melbourne.Google Scholar
  9. 9.
    Porter, P. H. (1992). Economic rationalism and competency based standards for education and training.Education 73(15), 13–15.Google Scholar
  10. 10.
    Benner, P. (1994).From Novice to Expert, Addison-Wesley, Menlo Park.Google Scholar
  11. 11.
    Lawler, J. (1991).Behind the Screens: Nursing, Somology and the Problem of the Body, Churchill Livingstone, Melbourne.Google Scholar
  12. 12.
    Lawler, J. (1991). In search of an Australian identity. In,Towards a Discipline of Nursing, ed. by G. Gray and R. Pratt, Churchill Livingstone, Melbourne.Google Scholar
  13. 13.
    Watson, J. (1985).Nursing: Human Science and Human Care: A Theory of Nursing, Appleton-Century-Crofts, Connecticut.Google Scholar
  14. 14.
    Jones, C. (1992). Fears grow over centralism.The Australian, 23 December, 12.Google Scholar
  15. 15.
    The Macquarie Dictionary (1992). Macquarie University, Sydney.Google Scholar
  16. 16.
    Affara, F.A. and Styles, M. M. (1992).Nursing Regulation Guidebook: from Principle to Power. ICN, Geneva.Google Scholar
  17. 17.
    Chiarella, M. (1995). Regulatory mechanisms and standards: nurses' friends or foes? In,Issues in Australian Nursing 4, ed. by G. Gray and R. Pratt, Churchill Livingstone, Melbourne.Google Scholar
  18. 18.
    Draper, M. (1992). The casemix maze.Health Forum, September, 16.Google Scholar
  19. 19.
    Pusey, M. (1993). Reflections on the impact of economic rationalism in Canberra.The Australian and New Zealand Journal of Sociology 29(3), 379–386.Google Scholar
  20. 20.
    Tonti-Filippini, N. (1994). Computer logic of casemix leaves care out in the cold.The Australian, 29 December, 9.Google Scholar
  21. 21.
    Picone, D., Ferguson, L. and Hathaway, V. (1993).Nursing Costing Study, Sydney Metropolitan Teaching Hospitals Nursing Consortium, Sydney.Google Scholar
  22. 22.
    See the AHMAC Sunshine Statement (February 1993), for example, which states that'... a health outcome is a change in the health of an individual, a group of people or population, which is attributable to an intervention or series of interventions'.Health Outcomes Bulletin 1, 5.Google Scholar

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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