Trust and distrust in a network-style organisation: GPs’ experiences and views of a Scottish local healthcare co-operative

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    Abstract

    This paper considers the conditions needed for an organisation to function as an effective network. In particular, the concepts of trust and distrust are explored. Looking at the new labour reforms of 1997, evidence is presented by means of interview responses from GPs, that this powerful group in primary health care lacked sufficient trust in health care managers. In fact GPs seemed to often distrust them. It is unlikely, therefore, that a Scottish local health care co-operative, created as a result of the 1997 reforms to act as an interface between GPs and health care managers could be effective in allocating health care resources. As a result, the reforms did little to improve primary health care services in Scotland despite the increased funding allocated over recent years to this sector.
    Original languageEnglish
    Pages (from-to)377-388
    Number of pages12
    JournalAccounting Forum
    Volume30
    Issue number4
    DOIs
    Publication statusPublished - 2006

    Keywords

    • General practitioners
    • Scotland
    • Primary health care

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