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The hierarchy of work pursuits of public health managers


Braithwaite, J and Luft, S and Bender, W and Callen, J and Westbrook, JI and Mallock, NA and Iedema, R and Hindle, D and Jochelsony, T, The hierarchy of work pursuits of public health managers, Health Services Management Research, 20, (2) pp. 71-83. ISSN 0951-4848 (2007) [Refereed Article]

DOI: doi:10.1258/095148407780744688


How public health is managed in various settings is an important but under-examined issue. We examine themes in the management literature, contextualize issues facing public health managers and investigate the relative importance placed on their various work pursuits using a 14-activity management model empirically derived from studies of clinician-managers in hospitals. Ethnographic case studies of 10 managers in nine diverse public health settings were conducted. The case study accounts of managers' activities were content analysed, and substantive words encapsulating their work were categorized using the model. Managerial activities of the nine public health managers were ranked according to the number of words describing each activity. Kendall's coefficient of concordance yielded W = 0.710, P < 0.000, revealing significant similarity between the activity patterns of the public health managers. A rank order correlation between the activity patterns of the average ranks for the public health sample and for the hospital clinician-managers (n= 52) was R = 0.420, P = 0.131, indicating no significant relationship between relative activity priorities of the two groups. Public health managers put less emphasis on pursuits associated with structure, hierarchy and education, and more on external relations and decision-making. The model of hospital clinician-managers' managerial activities is applicable to public health managers while identifying differences in the way the two groups manage. The findings suggest that public health management work is more managerialist than previously thought.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health care administration
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health policy evaluation
UTAS Author:Iedema, R (Professor Rick Iedema)
ID Code:96599
Year Published:2007
Deposited By:Health Sciences B
Deposited On:2014-11-12
Last Modified:2014-11-12

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