The contingencies of medical restratification across inter-organisational care networks

Waring , Justin; Roe, Bridget; Crompton, Amanda; Bishop, Simon

Abstract

Sociologists have long-debated how health and care reforms have transformed the social organisation of medical work, especially where managerial and market interventions appear to challenge the autonomy and power of doctors (Alford 1975; Harrison and Ahmad 2000; Ferlie et al. 2013; Light 1991; McKinlay and Stoeckle 1988; Waring and Currie 2009). With growing numbers of doctors taking up managerial and leadership positions within the organisation of care services, these debates increasingly focus on the implications of professional ‘restratification’ (McDonald 2012) and medical-managerial ‘hybridity’ (Bresnen et al. 2018). On the one hand, elites and hybrids are interpreted as organising professional work on behalf of management (Noordegraaf 2007); and on the other, they are shown as protecting professional interests in more managed work environments (McDonald 2012). Contemporary research problematises this control/resistance dichotomy, calling for a more nuanced understanding of the social organisation of medical work (Numerato et al. 2010), especially the way organising sensibilities are diffused throughout the professional workforce (Noordegraaf 2015).

Citation

Waring, J., Roe, B., Crompton, A., & Bishop, S. (2020). The contingencies of medical restratification across inter-organisational care networks. Social Science and Medicine, 263, https://doi.org/10.1016/j.socscimed.2020.113277

• Journal Article Type: Article
• Acceptance Date: Jul 30, 2020
• Online Publication Date: Aug 9, 2020
• Publication Date: 2020-10
• Deposit Date: Aug 26, 2020
• Publicly Available Date: Aug 10, 2021
• Journal: Social Science & Medicine
• Print ISSN: 0277-9536
• Electronic ISSN: 0277-9536
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 263
• Article Number: 113277
• DOI: https://doi.org/10.1016/j.socscimed.2020.113277
• Keywords: History and Philosophy of Science; Health(social science)
• Public URL: https://nottingham-repository.worktribe.com/output/4852687
• Publisher URL: https://www.sciencedirect.com/science/article/abs/pii/S0277953620304962