A Tale of Two Autonomies

Rønningstad, Chris

doi:10.7577/pp.1836

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…It explores how these interpretations constructed the relationship between various conceptions of interest and autonomy, and shaped their response to reforms. As in other contexts where NPM reforms were implemented (Schlesinger et al , 1997; Rønningstad, 2017), some HTP policies were seen as challenging professional autonomy by extending managerial jurisdiction over some aspects of the organization of work such as workload and scheduling. One major limitation of this study is its exploratory nature and analysis based on one case study.…”

Section: Discussionmentioning

confidence: 99%

Conceptualizing professional and public interest in the context of Turkey’s health care reforms

Agartan

2019

IJSSP

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Purpose The purpose of this paper is to investigate physicians’ response to reforms in Turkey on the basis of their experience of the changes in the daily work environment. It aims to bridge the gap between health policy and sociology of professions literatures to explain why some public-sector physicians have opposed the recent reforms. Design/methodology/approach The research adopts a qualitative methodology including semi-structured interviews and content analysis. The fieldwork involves collecting information through written documents and interviews with 23 physicians working in public tertiary hospitals in one large city. Findings Physicians’ response combines a concern with material interests, previously conceptualized in terms of erosion of autonomy, with anxiety over damage to their professional image and social status. The particular reform discourse adopted by policymakers disrupts the existing constructions of harmony in the professional discourse between the public and professional interests, and between social value and material interests. Research limitations/implications One major limitation of this paper is its exploratory nature and analysis based on one case study. Future studies that adopt a cross-country comparative approach could help addressing concerns of limited generalizability. Originality/value Earlier social science literature on health reforms has explained physicians’ opposition in terms of protecting their professional self-interest and fighting against any regulation that could limit their income or autonomy. The paper adopts a broader definition of interests that goes beyond this materialist conception and includes subjective ideas about interests such as values and beliefs about how they serve the public interest. This definition allows us to unpack the relationship between interest and autonomy.

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Section: Discussionmentioning

confidence: 99%

Conceptualizing professional and public interest in the context of Turkey’s health care reforms

Agartan

2019

IJSSP

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Professionality Model for Vocational Teachers: Based on the Example of Estonian Vocational Teachers in the Changing VET Context

Sirk

2024

Interchange

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Vocational teachers (VTs) have been seen as the key individuals executing changes, solving problems and achieving goals in vocational education and training (VET). Therefore, the work of VTs is fragmented between different types of tasks which influence their professionalism and professionality (individual views, experiences and professional practices of teachers). Despite this, their professionality has been studied remarkably little, and previous studies have focused on different narrow aspects of professionalism. However, it is not clear how various factors, including changes in VET, can shape VTs’ perception of their professionality. Based on a meta-analysis, this study aims to create comprehensive knowledge through an empirical model of vocational teacher professionality in the context of VET changes based on the example of Estonian VET. The results show that VTs have expressed different perceptions, evaluations and experiences of change in VET, and therefore different forms of collaboration and learning activities have been used to adapt to changes, which together shape the professionality of VTs. Therefore, three profiles of VT professionality have emerged and the wider scope of the collaboration of VTs fosters more positive attitudes, satisfaction and commitment to their work and profession, while also relating to their higher self-efficacy, which supports coping in demanding pedagogical situations and when faced with new tasks and roles in a changing context.

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Proletarianization of Professional Employees and Underemployment of General Intellect in a “Knowledge Economy”

Livingstone¹

2019

L/LT

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A Tale of Two Autonomies

Cited by 3 publications

References 21 publications

Conceptualizing professional and public interest in the context of Turkey’s health care reforms

Conceptualizing professional and public interest in the context of Turkey’s health care reforms

Professionality Model for Vocational Teachers: Based on the Example of Estonian Vocational Teachers in the Changing VET Context

Proletarianization of Professional Employees and Underemployment of General Intellect in a “Knowledge Economy”

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