Since the beginning of the 1990s, health policy in Italy has been characterised by continuous reform as reflected by the frequency of new measures. Importantly, the reforms have changed considerably many aspects of the health-care system, including the governance of medical performance. The new measures fall into two types: regionalisation and transformation of local providers into 'health-care enterprises'. In relation to the governance of medical performance, more specifically, the reforms have entailed the introduction of budgeting and quality assurance, the creation of new managerial roles, and the transformation of existing roles, as well as the introduction of new mechanisms for evaluating medical performance. In terms of the specific forms of governance, the reforms have reinforced hierarchy-based forms of governing intermeshed with party governance, and have re-defined professional self-regulation by strengthening collective forms of professional self-regulation. The design and implementation of the reforms are subject to a complex process of negotiation, which involves a wide range of actors spread across different levels of governance and takes place in relation to all aspects of the governance of medical performance.

The aim of this paper is to trace a pathway connecting contemplative knowledge and practices with the social sciences. Contemplative knowledge and practices offer material for reflection in social science even concerning their very foundation. I'll found an opportunity for meshing our disciplinary tools with this knowledge as I introduced it in a health promotion program. The result will be a transdisciplinary confluence of different lines of inquiry contributing to a new perspective of self and social action.First of all I will give a definition of contemplative knowledge and practices. Then, I will make a bridge between the contemplative approach and the social sciences, showing the contribution that symbolic interactionism can play. I will illustrate the perspective drawing on an action research program called Auriga aimed at smoking cessation and reduction among health professionals. The aim of this paper is focused on the specification of the conceptual background in which such kind of program has been developed. Finally, I outline some implications it could represent for what might be called transformative sociology.I believe that contemplative knowledge could contribute to disentangle some of the unanswered questions and concerns in the social sciences, once they dismiss for a while their scientistic perspective. The secular redefinition of tools mainly belonging to the wisdom traditions represents an innovation that can reshape what we intend by the self and experience, contributing to what is called the "social transformation from within," a pragmatic and wise approach to change at any level.

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