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Title: A spiritual response to the challenge of routinization : a dialogue of discourses in a Buddhist-initiated hospice
Language of title: English
Author/Creator: P. McGrath

Description: The hospice vision of providing democratic and humane care of the dying needs to be operationalized in the "real world" of health care bureaucracies. It is at this interface between idealists and the demands of mainstream health care that hospice organizations experience compromise, diversion, and an ongoing threat to their singleness of purpose. This discussion explores this process of routinization through research findings on a hospice organization known as Karuna Hospice Service (KHS). Such findings suggest that, although this hospice inevitably defers to the bureaucratic demands of the system, KHS's spiritual discourse does offer some protection to the formalizing and dehumanizing demands of routinization. Such research findings are provided as a contribution to exploring and documenting the ways in which hospices are negotiating this difficult and important ideological challenge. It is argued that effectively meeting such a challenge is of central importance for the survival of the hospice movement.

Publisher Place: Newbury Park, CA
Publisher: SAGE Publications
Normalized publisher place: Newbury Park, CA
Publisher country: United States
Publisher URL: http://www.sagepub.com/home.aspx
Published Date: 1998-11
Subject: Hospice Care
Palliative Care
Karuna Hospice Service
Health care bureaucracy
Classification: Buddhism and Science -- Medicine -- International Medicine -- Issues in Health Care
Buddhism and Science -- Medicine -- International Medicine -- Death and Dying
Cultural Coverage: Australia
Temporal coverage: 20th century CE
Language: English
Series 2 editor:
Source URL: http://www.ualberta.ca/~qhr/
Source: Qualitative health research
Source Editor: J.M. Morse
Source Type: Journal
Source Volume: 8
Source Number: 6
Source Page Numbers: 801-812
Start Date: 1992
Frequency of publication: Quarterly
Submissions: See the journal's author guidelines.
ISBN/ISSN: 1049-7323
Location and access number: 10558347

Means of availability: In print and online. Check with library for subscription.

Format: Online resource
Print media (print or manuscript, including PDFs)
Resource Type: Article
Release Flag: OK for viewing
Date Of Record Creation: 2005-03-25 14:31:34
Date Record Checked: 2005-04-10
Date Last Modified: 2005-12-19 15:17:32
Cumulative Rating: this resource has a 1 star rating
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