In this `professional bureaucracy , the hierarchical authority has only limited power , contrary to the `mechanical bureaucracies ' found in industry . Moreover , health care institutions are structured in departments with significant autonomy of action , which enhances even more their ability to resist change ' - (Patrice Franzois , Jean-Claude Peyrin , Muriel Touboul , Josy Labarire , Thomas Reverdy and Dominique Vinck 2003 ) 2 .3 PREREQUISITES FOR A BETTER QUALITY MANAGEMENT IN A HOSPITAL : The quality management in a private hospital should provide for the following essential...











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