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A review of the administration of the health services in Tasmania


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Matthews, EHG 1959 , 'A review of the administration of the health services in Tasmania', Other Degree thesis, University of Tasmania.

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The term "Health Services" embraces a multitude
of activities. It also covers a multitude of organisational
Since 1945, when the Executive, in its wisdom,
decided to appoint a Director of Hospital and Medical Services,
a Director of Tuberculosis and.a Director of Mental Hygiene
in addition to the existing position of Director of Public
Health, and then placed a layman, the Secretary, in the
position of Permanent Head, the sorry tale of disorganisation has increased in woe year by year, until the situation as it
exists in 1959 threatens a complete breakdown. My criticism
of the arrangements made in 1945 has nothing to do with the
appointment of a layman as Permanent Head, indeed I consider
a trained and experienced lay administrator to have a better
chance of success than the average.medical practitioner. It
is to the lack of foresight shown by those senior officers
charged with advising the Government that I allude. Knowing
that the Public Health Act of 1935 was framed to give wide
powers to an officer also endowed with the authority of a
Permanent Head under the Public Service Act, 1923, those senior
officers apparently saw no incompatibility between the powers
of the Director of Public Health, now to be a subordinate
officer, and the new Permanent Head. If they did foresee
difficulties, then it seems that they took the line of least
resistance by hoping that the new arrangement would be made to
work somehow; but the fact remains that the Office of Director of Public Health retained all its public health powers when it
became a subordinate position, and thereby provided fertile ground for clashes of personality with a Permanent Head, be he
layman or medico.

Item Type: Thesis - Other Degree
Authors/Creators:Matthews, EHG
Additional Information:

Copyright 1959 the Author - The University is continuing to endeavour to trace the copyright
owner(s) and in the meantime this item has been reproduced here in good faith. We
would be pleased to hear from the copyright owner(s).

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