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Contents 1Introduction 2Executive Summary 3Recent Reforms 31Overview of Healthcare System 32Reasons of Reforms 33Recent Reforms 4Impacts of Healthcare Reforms 5Conclusion References Appendices 1 Introduction As a major endeavour at implementing administrative change Public sector reform impacts on both the organisational structure of the public sector as well as the operational principles and philosophy of public sector managers and workers In Hong Kong public sector reforms have been initiated within a significant period of transition in which political considerations have constituted important elements of the change process Before 1997 handover Hong Kong was under the control of United Kingdom it was a colony of British and a small government The functions of government were to regulate facilitate purchase and provide services on behalf of community it looks as a safety net to deal with the needs in the community As such the communitys expectations of the Government continuously are growing and needs are expanding and at the same time as the society is challenged by increasingly complex situations - economic social and technological In response to these challenges the Government has made big strides to improve continuously the public services and public management processes Furthermore driven by the New Public Management NPM concept introduced and the impact of globalization public sector reform has become a worldwide trend The first major trend was the bureaucracy Bureaucracy as an approach to public management took hold in industrializing Europe and later North America over a century ago Richard C 2001 P811 In Hong Kong driven by the pressures for policy convergence such as the economic globalization internationalization transnationalization of the state etc and for policy divergence the Government carried out a series of reforms programmes The first public sector reform programme - a programme of financial management reforms was launched by the Finance Branch in 1989 introducing the new initiatives such as performance pledges trading funds budget
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