Thompson D
Sociol Health Illn. 1987 Jun;9(2):127-53. doi: 10.1111/1467-9566.ep11343878.
This paper suggests that conflict is an inescapable feature of National Health Service organisational life, and that it is legitimate area of study. It describes a number of powerful coalitions whose interactions can produce conflict as they attempt to influence the distribution of scarce resources. In particular, it focuses on the beliefs and power of a 'practitioner interests' coalition and an 'administrative ethic' coalition. To survive in this world of coalitions, NHS general managers need to assert their own positions. Are they to be agents of the existing coalitions or can they construct their own and achieve its dominance? The paper concludes by discussing how a distinctive general management coalition might emerge.
本文认为，冲突是国民医疗服务体系组织生活中不可避免的特征，也是一个合理的研究领域。它描述了一些强大的联盟，这些联盟在试图影响稀缺资源分配时，其相互作用可能产生冲突。特别是，它关注了一个“从业者利益”联盟和一个“行政伦理”联盟的信念与权力。为了在这个联盟的世界中生存，国民医疗服务体系的总经理们需要坚持自己的立场。他们是要成为现有联盟的代理人，还是能够构建自己的联盟并实现其主导地位？本文最后讨论了一个独特的总经理联盟可能如何出现。
