ABSTRACT
In the countries such as Australia, England, New Zealand and Wales, health care delivery and outcome is a public good, publicly funded and delivered through a mix of public and private organizations. Their clinical and managerial cadres also share similar traditions and socialization as they enter and develop their professional practice. The principles of providing care on these terms produce powerful tensions in its management. This chapter seeks an empirical understanding of sociological and policy issues. The survey questions addressed autonomy, resource allocation, professional practice, accountability, clinical standard setting, and clinical unit management. The initial analyses of the questionnaires found that significant differences on stances to survey items were most explained by professional group rather than by organization, demographics of respondent, or country of origin. Discriminate analysis of the survey items revealed that differences between professional subgroups occurred on five dimensions, Degeling et al explained 94 percent of the variances between all respondents.
