Burnes B, Salauroo M
Manchester School of Management, UMIST, UK.
J Manag Med. 1995;9(2):14-29. doi: 10.1108/02689239510086506.
Presents and discusses the findings from a research project into the impact of the NHS internal market on the merger of colleges of midwifery and nursing. Begins by briefly describing the major changes which have been introduced in the NHS since 1979 and sets these within the context of the charging nature of the public sector in the UK. Second, describes the background to the research and the methods employed. Continues with a brief review of the approaches to the change management process, which in particular draws attention to the importance of the environment in which the organization operates, and of the relationship between management styles and the different approaches to organizational change. Presents a case study of the merger of five colleges of nursing and midwifery. Follows with a discussion of the case study and the conclusions drawn from it for the process of change within the NHS.
介绍并讨论了一项关于英国国家医疗服务体系（NHS）内部市场对助产士与护理学院合并影响的研究项目的结果。首先简要描述了自1979年以来NHS引入的主要变革，并将这些变革置于英国公共部门收费性质的背景下。其次，描述了研究背景及所采用的方法。接着简要回顾了变革管理过程的方法，特别强调了组织运营环境的重要性，以及管理风格与不同组织变革方法之间的关系。呈现了五个护理与助产学院合并的案例研究。随后对该案例研究进行了讨论，并得出了对NHS内部变革过程的结论。
