From teams to hierarchy: A short-lived innovation in a hospital for the elderly

Grace de Santis

Social Science & Medicine, 1983, vol. 17, issue 21, 1613-1618

Abstract: An institution created to deliver rehabilitative care to the elderly is the object of this discussion. Three years of careful planning had produced a facility with a unique spatial design, a 'team approach' rather than a 'medical model approach' to care, plus a general receptiveness to new patient care programs. The paper documents the confrontation, during the first year, between this innovative plan and the realities of operation. When the study ended, reality was gaining the advantage over the plan.

Date: 1983
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