Rather than providing evidence of business process re‐engineering (BPR) as another example of cultural change rhetoric, this case study shows BPR as a substantive initiative that has had a considerable impact on health care professionals. A hybrid of differing bureaucratic professions allows for a diversity specific to the health service. The study highlights a number of controversial issues unique to health care professionals, particularly in the areas of job redesign, multiskilling and empowerment.
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Leverment et al. (1998) studied this question.