{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:08Z","timestamp":1777851968786,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2005,6,1]],"date-time":"2005-06-01T00:00:00Z","timestamp":1117584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2005,6]]},"abstract":"<jats:p>The need for change within the National Health Service (NHS) to improve performance and increase value for money has been discussed for many years by academics, practitioners and political parties. Change initiatives have come and gone and yet the problems still exist. This research explores possible changes in practice that may be required to improve the performance of operating theatres within a diagnostic and treatment centre in England - Trust X. The research investigates the difficulties of implementing such changes within Trust X, gives some insight into why these difficulties arise, and suggests possible future options as to how the aforementioned difficulties may be addressed.<\/jats:p>","DOI":"10.1177\/1460458205052363","type":"journal-article","created":{"date-parts":[[2005,5,18]],"date-time":"2005-05-18T11:10:51Z","timestamp":1116414651000},"page":"135-145","source":"Crossref","is-referenced-by-count":1,"title":["Performance of surgical services within a diagnostic and treatment centre: an                 analysis of Trust X"],"prefix":"10.1177","volume":"11","author":[{"given":"Steve","family":"Page","sequence":"first","affiliation":[{"name":"Department of Business & Management, University College Chester, Parkgate Road, Chester CH1 4BJ, UK,"}]},{"given":"Christopher","family":"Howard","sequence":"additional","affiliation":[]}],"member":"179","published-online":{"date-parts":[[2005,6,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-349-26224-3"},{"key":"atypb2","volume-title":"The Politics of the NHS","author":"Klein R","year":"1989"},{"key":"atypb3","volume-title":"Reinventing Government","author":"Osborne D","year":"1992"},{"key":"atypb4","volume-title":"Study of the Management and Utilisation of Operating Departments","author":"Bevan P G","year":"1989"},{"key":"atypb5","volume-title":"Use of National Health Service Theatres in England","author":"National Audit Office","year":"1991"},{"key":"atypb6","volume-title":"Day Surgery: Making it Happen","author":"NHS Management Executive","year":"1991"},{"key":"atypb7","volume-title":"Guidelines for Day Surgery","author":"Royal College of Surgeons of England","year":"1992"},{"key":"atypb8","volume-title":"Good Practice in Operating Theatre Management","author":"NHS Executive","year":"1994"},{"issue":"3","key":"atypb9","first-page":"7","volume":"15","author":"Patterson P","year":"1999","journal-title":"OR Manager"},{"issue":"5","key":"atypb10","first-page":"20","volume":"16","author":"Dexter F","year":"2000","journal-title":"OR Manager"},{"key":"atypb11","volume-title":"Shaping Strategic Change","author":"Pettigrew A M","year":"1992"},{"key":"atypb12","volume-title":"Operating Room Management","author":"Gabel R A","year":"1999"},{"key":"atypb13","unstructured":"Warhurst R. 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