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Medicine and Management in a Comparative Perspective: the Case of Denmark and England

Kirkpatrick, I and Jesperson, PK and DENT, Michael and Neogy, I (2009) Medicine and Management in a Comparative Perspective: the Case of Denmark and England. Sociology Of Health & Illness, 31 (5). pp. 642-658. ISSN 1467-9566

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Abstract or description

In health systems around the world the current trend has been for doctors to increase their participation in management. This has been taken to imply a common process of re-stratification with new divisions emerging between medical elites and the rank and file. However, our understanding of this change remains limited and it is open to question just how far one can generalize. In this paper we investigate this matter drawing on path dependency theory and ideas from the sociology of professions. Focusing on public management reforms in the hospital sectors of two European countries - Denmark and England - we note similarities in the timing and objectives of reforms, but also differences in the response of the medical profession. While in both countries new hybrid clinical management roles have been created, this process has advanced much further and has been more strongly supported by the medical profession in Denmark than in England. These findings suggest that processes of re-stratification are more path dependent than is frequently acknowledged. They also highlight the importance of national institutions that have shaped professional development and differences in the way reforms have been implemented in each country for explaining variation.

Item Type: Article
Subjects: B900 Others in Subjects allied to Medicine
L300 Sociology
L400 Social Policy
N200 Management studies
Faculty: Faculty of Health Sciences > Social Work, Allied and Public Health
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Depositing User: Mike DENT
Date Deposited: 11 Mar 2013 14:34
Last Modified: 02 Oct 2013 15:40
URI: http://eprints.staffs.ac.uk/id/eprint/178

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