The emergence and rapid proliferation of case management programmes, quality improvement projects, and continuous improvement plans is a prominent feature of the medical landscape in recent years. This is certainly the case in the public hospitals. The phenomenon is viewed by some doctors, depending on the context in which the measures have been introduced, with either suspicion, resistance, indifference, tacit agreement, or full and positive engagement. Whatever the case in our own institution, case management is beginning to take root in our hospital culture. We need to recognise this fact and to learn how best to cope with it in our everyday practice.
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