Outsourcing in the Australian health sector : the interplay of economics and politics

Purpose – The paper discusses the reasons and approaches used at three health organisations in introducing outsourcing. It specifically answers the question: why have managers of health organisations outsourced some functions in preference to others?

Design/methodology/approach – This research employs a case study method making use of qualitative analysis. The health organisations were chosen first as representatives of their type, and secondly due to the nature of the outsourcing decisions made. The first health organisation operates in the rural sector; the second is a metropolitan network; and the third is a large metropolitan hospital, which, in contrast to the other two case study organisations, had made only one decision to outsource, producing the largest outsourcing contract in health in Australia. Furthermore, this situation was distinctive as the contract was terminated and re-issued to another private sector organisation.

Findings – The reasons for outsourcing varied within and between health organisations. Although generally they were made on the bases of the characteristics of the labour market, employee skill levels and the nature of industrial relations, the perception of what was core, the level of internal management skills, the ability of internal teams to implement change and the relationship between management and staff. Even though cost savings and a downsized labour force resulted, generally these occurred even when services were not outsourced, through the use of other change processes, such as introducing new technology, changing structures and promoting workforce flexibility. The interplay of political reasons and economic effects was evident along with the political nature of the decision-making and processes used. The paper concludes that the power of managers was a moderating factor between the desire for outsourcing and whether outsourcing actually occurred.

Research limitations/implications – Although this research was conducted solely within the health sector it has implications for other public sector bodies and the private sector.

Practical implications – Managerial decision making can be enhanced with the exploration of the full complement of reasons for the outsourcing decision.

Originality/value – The paper has value to both academics researching in the public sector and public sector managers.

In dialogue with A.D. Hope: dialogue three: politics and poetics of Australian literature

[Hope was largely responsible for the inclusion of Australian Literature as a separate subject of study in universities. Yet his role in debates on modernism in the Australian context was controversial and he remains one of the main figures who fought for a particular kind of poetry that he saw some modernist methods, experiments, and theories destroying. Dialogue Three aims to hear his side of the story as Hope has become, in many circles, the embodiment of what is euphemistically called ‘the dead white male,’ a title attributed to him long before his actual death in July 2000. Is it the case that Hope’s opposition to ‘free verse’ or his view that men and women know separate metaphysical worldviews or his poetic focus upon European philosophical and literary traditions are sexist, obsolete, or reactionary?
See Dialogue One for details of the following exchange.]

"Where myth becomes history" : the politics of mythical time in Heiner Muller's Medea

Heiner Müller in the 1980s produced a sequence of plays featuring Euripides’ heroine Medea using his distinctive, poetic modality of “the theatre of images”. These ostensibly postmodern narratives take the form of disjointed, visual and textual representations that are also fragmentations of historical and mythical times and spaces. Müller’s Medea plays are thus suggestive of the intersection between the discourses of history and myth — and the blending of historical time with ahistorical, supposedly “timeless” mythical narratives. Further, the postmodern possibility of history’s textuality to liquidate it into a type of (modern) mythology seeks expression in the plays’ representation of a converse equation: the moment signaled in the text as that “where myth becomes history”. This paper examines the problematisation of the myth-history dichotomy in Müller’s Medea plays, outlining the ways in which the “timeless” myth of the classical, infanticidal figure of Medea is strategically deployed to politicise evolutionist teleology, Western colonialism and the technologies of war in twentieth century Europe.