Modernizing Public Healthcare Governance in Hong Kong: A Case Study of Professional Power in the New Public Management

Anthony B. L. Cheung

Public Management Review, 2002, vol. 4, issue 3, 343-365

Abstract: This article examines Hong Kong's experience in modernizing and corporatizing public healthcare governance in order to enhance management autonomy and service efficiency, against the background of a previous regime of centralized departmental control and amid the worldwide trend of new public management. The reform, culminating in the establishment of a hospital authority, is found to be wrought with intense intra-bureaucratic conflict, as well as rivalries between professional and administrative bureaucrats, between professionals of different sectors, and between medical and para-medical providers. Instead of breaking up traditional professional monopoly and opening up the system to non-medical general management, corporatization has resulted in an unplanned entrenchment and re-empowerment of medical professional power.

Date: 2002
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DOI: 10.1080/14616670210157238

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