Negotiating the Crisis: Drgs and the Transformation of Hospitals

Author:   Patricia Geist ,  Monica Hardesty
Publisher:   Taylor & Francis Ltd
ISBN:  

9780415516235


Pages:   214
Publication Date:   02 December 2011
Format:   Paperback
Availability:   In Print   Availability explained
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Negotiating the Crisis: Drgs and the Transformation of Hospitals


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Overview

In 1984 Congress revamped Medicare to save a financially distraught health care system, thus transforming the hospital as an organization. Diagnosis Related Groups (DRGs) -- the cornerstone of this extensive reorganization -- have triggered repercussions that are still adversely affecting health care professionals. This volume cuts to the heart of this crisis, examining the difficulties and foibles of going from DRG Legislation to DRG practices and giving voice to the professionals who must carve out a new reality under DRGs. It exposes the disputes between the various professional groups -- administrators, physicians, and nurses --over the implementation of DRGS, and how these professionals maneuver to manage the health service problems created by the policy. The book's authors provide an insightful analysis of the way policy innovations can wreak havoc on an organization and how professionals working together eventually negotiate order out of the chaos of change. The volume's narrative style of research is one feature that makes the presentation of the authors' findings unique from other works on Medicare legislation. Additionally, the book offers a case study approach to communication and sociological matters of a significant health care issue.

Full Product Details

Author:   Patricia Geist ,  Monica Hardesty
Publisher:   Taylor & Francis Ltd
Imprint:   Routledge
Weight:   0.400kg
ISBN:  

9780415516235


ISBN 10:   0415516234
Pages:   214
Publication Date:   02 December 2011
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   In Print   Availability explained
This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us.

Table of Contents

Contents: Preface. Communicating Hospital Order. DRGs: A Revolution in the Financing of Health Care. The Primary Players Negotiating DRG Information. Negotiating Organizational Ideologies. Negotiating Work Roles and Responsibilities. Negotiating Control Relationships in Contested Terrain. Permanence and Change in the Aftermath of DRGs. Researching Hospitals Interpretively. Appendix: Researching Hospitals Interpretively.

Reviews

...an important work of scholarship....an excellent case study for advanced classes in organizational communication and health communication. Given its strong rhetorical foundations, rhetoricians may find it valuable as a demonstration of rhetoric embedded in organizational life. -Communication Quarterly


Author Information

Geist, Patricia; Hardesty, Monica

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