Managing The Myths Of Health Care: Bridging The Separations Between Care, Cure, Control, And Community by Henry MintzbergManaging The Myths Of Health Care: Bridging The Separations Between Care, Cure, Control, And Community by Henry Mintzberg

Managing The Myths Of Health Care: Bridging The Separations Between Care, Cure, Control, And…

byHenry Mintzberg

Paperback | May 15, 2017

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“Health care is not failing but succeeding, expensively, and we don’t want to pay for it. So the administrations, public and private alike, intervene to cut costs, and herein lies the failure.”

In this sure-to-be-controversial book, leading management thinker Henry Mintzberg turns his attention to reframing the management and organization of health care.

The problem is not management per se but a form of remote-control management detached from the operations yet determined to control them. It reorganizes relentlessly, measures like mad, promotes a heroic form of leadership, favors competition where the need is for cooperation, and pretends that the calling of health care should be managed like a business.

“Management in health care should be about dedicated
and continuous care more than interventionist and episodic cures.”

This professional form of organizing is the source of health care’s great strength as well as its debilitating weakness. In its administration, as in its operations, it categorizes whatever it can to apply standardized practices whose results can be measured. When the categories fit, this works wonderfully well. The physician diagnoses appendicitis and operates; some administrator ticks the appropriate box and pays. But what happens when the fit fails—when patients fall outside the categories or across several categories or need to be treated as people beneath the categories or when the managers and professionals pass each other like ships in the night?

To cope with all this, Mintzberg says that we need to reorganize our heads instead of our institutions. He discusses how we can think differently about systems and strategies, sectors and scale, measurement and management, leadership and organization, competition and collaboration.

“Market control of health care is crass, state control is crude, professional control is closed. We need all three—in their place.”

The overall message of Mintzberg’s masterful analysis is that care, cure, control, and community have to work together, within health-care institutions and across them, to deliver quantity, quality, and equality simultaneously.
Henry Mintzberg is the Cleghorn Professor of Management Studies at McGill University and the recipient of twenty honorary degrees from universities around the world. He is the author of nineteen books, including Rebalancing Society.
Title:Managing The Myths Of Health Care: Bridging The Separations Between Care, Cure, Control, And…Format:PaperbackDimensions:272 pages, 8.5 × 5.5 × 0.7 inPublished:May 15, 2017Publisher:Berrett-koehlerLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:1626569053

ISBN - 13:9781626569058

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Rated 4 out of 5 by from A recommended read for anyone considering an MBA or a health care management position! I did my MBA in the case method 35 years ago. Over the next 35 years I came to the conclusion that an MBA was useless in preparing me to manage unless I had some relevant work experience against which to apply my MBA knowledge. Mintzberg has a similar appreciation of MBA programs. Perhaps they have changed in 35 years. I am interested in health care as I have reached an age where I am a steady consumer/patient either for myself or family members. Much of Mintzberg writing could be self promotion, he seems to be a management guru and has courses in health care management, but a lot of what he writes makes sense. Worth a read by any health care professional or person in a position to influence health care in Ontario.
Date published: 2018-02-08

Editorial Reviews


Preface ix
A Note to the Reader xi
1 Managing Ahead 1
2 The Dynamics of Managing 17
3 A Model of Managing 43
4 The Untold Varieties of Managing 97
5 The Inescapable Conundrums of Managing 157
6 Managing Effectively 195

APPENDIX Eight Days of Managing 237

Bibliography 275
Index 291

About the Author 305