Business pocess re-engineering (BPR) is one of the latest approaches to improving organisational performance. It evolved in the US private sector,and has been introduced to Britain and the British public sector, offering radical improvement from radical redesign. This article considers the nature of BPR (and there is more than one variety) and the suitability of its application to the public sector in general and to hospitals in particular. The authors then evaluate the experience and impact of BPR in a London hospital trust. The article concludes by highlighting factors that help to explain the particular example of BPR and draws out some implications for its wider use in the public sector. Fran~ais La reorganisation des operations commerciales (en anglais Business Process Re-engineering ou BPR) est une des derniEkes approches destinees a rendre une entreprise plus performante au niveau structurel. Cette reorganisation s'est developpee dans Ie secteur prive americain avant d'etre introduite en Grande-Bretagne et dans Ie secteur public Britannique. Elle offre une amelioration radicale a partir d'une conception nouvelle radicale. Cet article examine la nature de la reorganisation des operations commerciales (et il yen a plus d'une variete) et considere si celle-ci est appropriee en un premier lieu au secteur public en general et aux hopitaux en particulier. Les auteurs evaluent ensuite I'experience et I'impact de la reorganisation des operations commerciales dans un trust hospitalier londonien. En conclusion, I'article souligne les facteurs qui permettent d'expliquer I'exemple particulier de la reorganisation des operations commerciales et attire I'attention sur les implications d'une application plus large au secteur public.Espanal 'Business process re-engineering' (BPR) es uno de los ultimos metodos para mejorar el desempeiio organizacional. Se desarrollo en el sector privado norteamericano, y ha sido introducido en Inglaterra y en el sector privado ingles, ofreciendo un mejoramiento sustancial respecto al rediseno radical. Este articulo considera la naturaleza del BPR (hay mas de una variedad) y su conveniencia para el sector publico en general y para los hospitales en particular.Los autores tambien evaluan el desarrollo e impacto del BPR en un hospital ingles.EI articulo concluye haciendo enfasis en los facto res que ayudan a explicar el ejemplo particular del BPR y propane algunas implicaciones de su posible uso en el sector publico.-------------401
This paper, based on a fieldwork conducted with community transport projects in rural Ireland, examines the place of mobility in the lives of older people. It uses the idea of journey to explore what mobility means to older people, what the research made visible to a diverse range of project stakeholders and to reflect on the nature of ethnographic projects in industry settings. For passengers, the journeying is often as important as the destination — travelling creates visibility of countryside, community and communion with others. For project stakeholders, the research encouraged a view of mobility that transcends travel because it highlighted the world beyond the bus. For researchers, the project created challenges to the dominant view of technology for ageing‐in‐place within their own organization. Finally, reflections are made on industry ethnography as a journey with often unknown destinations.
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