The status of the medical profession: reinforced or challenged by the new public management?

被引:1
|
作者
Cascon-Pereira, Rosalia [1 ]
Kirkpatrick, Ian [2 ]
Exworthy, Mark [3 ]
机构
[1] Univ Rovira & Virgili, Dept Gest Empresas, Reus, Tarragona, Spain
[2] Univ Warwick, Warwick Business Sch, Coventry, W Midlands, England
[3] Univ Birmingham, Hlth Serv Management Ctr, Birmingham, W Midlands, England
关键词
Doctors; Occupational status; Health care reform; Social class; Professional power;
D O I
10.1016/j.gaceta.2016.07.023
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This article aims to assess if the status of the medical profession has been reinforced or weakened with the new public management. With this purpose, it collects the opinion of two international experts regarding situation in the United Kingdom, in order to apply some lessons to the Spanish case. Both agree that, far from losing status and power with the healthcare reform, the medical profession has protected its status and autonomy against other social agents such as managers, politicians and patients. However, the maintenance of the status quo has been at the expense of an intra-professional stratification that has caused status inequalities linked to social class within the medical profession. (C) 2016 SESPAS. Published by Elsevier Espaiia, S.L.U.
引用
收藏
页码:273 / 275
页数:3
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