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FROM TENDER CARE TO TENDERED CARE: THE CASE OF THE VICTORIAN MATERNAL AND CHILD HEALTH SERVICE

FROM TENDER CARE TO TENDERED CARE: THE CASE OF THE VICTORIAN MATERNAL AND CHILD HEALTH SERVICE Restructuring the public sector along market principles has been a major policy development of the late twentieth century in most western countries. This paper examines the impact of recent political and administrative change on a Victorian universal primary health program, the Maternal and Child Health Service (MCHS). The first section establishes the development of the service in the years when an interventionist state provided bureaucratic support for the expansion of public health activities. In the next significant period of organisational change, the 1980s‐early 1990s, key interest groups articulated their positions in view of the administrative imperatives of corporate managerialism. Dramatic ‘marketisation ’ of the service then occurred with the impact of compulsory competitive tendering (CCT) in the mid‐1990s. The paper argues that attention to the complex processes of change shows the interplay of interest groups, discursive positions and administrative regimes, with new strategies emerging to counter the contracting state. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australian Journal of Social Issues Wiley

FROM TENDER CARE TO TENDERED CARE: THE CASE OF THE VICTORIAN MATERNAL AND CHILD HEALTH SERVICE

Australian Journal of Social Issues , Volume 36 (4) – Nov 1, 2001

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References (29)

Publisher
Wiley
Copyright
© Australian Social Policy Association
eISSN
1839-4655
DOI
10.1002/j.1839-4655.2001.tb01106.x
Publisher site
See Article on Publisher Site

Abstract

Restructuring the public sector along market principles has been a major policy development of the late twentieth century in most western countries. This paper examines the impact of recent political and administrative change on a Victorian universal primary health program, the Maternal and Child Health Service (MCHS). The first section establishes the development of the service in the years when an interventionist state provided bureaucratic support for the expansion of public health activities. In the next significant period of organisational change, the 1980s‐early 1990s, key interest groups articulated their positions in view of the administrative imperatives of corporate managerialism. Dramatic ‘marketisation ’ of the service then occurred with the impact of compulsory competitive tendering (CCT) in the mid‐1990s. The paper argues that attention to the complex processes of change shows the interplay of interest groups, discursive positions and administrative regimes, with new strategies emerging to counter the contracting state.

Journal

Australian Journal of Social IssuesWiley

Published: Nov 1, 2001

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