Healthcare Management

Cranfield School of Management

How Do They Manage?

A study of the realities of middle and front line management work in healthcare

HDTM is a collaborative research project between Cranfield School of Management and Cranfield Health. The project is funded by the NIHR Health Services and Delivery Research (HS&DR) Programme from January 2009 - June 2012.

This project will address three related sets of questions:

1. Realities

  • What are the new pressures and demands facing middle and front line managers in healthcare? 
  • What are the implications of these trends?
  •  How do managers cope with shifting priorities and expectations?

2. Changes

  • What roles do middle and front line managers play in implementing changes? 
  • How are changes arising from adverse events implemented, and how can this process be improved?

3. Contributions

  • How does management practice affect clinical and organizational outcomes? 
  • What factors influence the management contribution to performance? 
  • How can thecomponents of an ‘enabling environment’ for the management contribution be assembled and sustained?



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