2013
DOI: 10.1108/02610151311324389
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The gender subtext of new public management‐based work practices in Swedish health care

Abstract: Findings -While on the surface an egalitarian and consensus based model, it nevertheless risks reinforcing a gendered hierarchical order. The explicit emphasis on social competencies, on being collaborative and amenable to change risks, paradoxically, disfavoring women. A major reason is that control becomes more opaque, which favors those already in power.Practical implications -The article calls for researchers as well as practitioners to incorporate concerns of equality in the work place when introducing ne… Show more

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Cited by 12 publications
(12 citation statements)
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“…The authors conclude that the unintended consequences are disappointing from the decision-makers' perspective, as elderly care sector reforms are labeled as embodying an increased masculinism that has masculinized the sector. In a conceptual paper, Hedegaard and Ahl (2013) conclude that NPM transformations have increased the systematic control of healthcare delivery at the expense of healthcare workers, because the performance improvements reproduce rather than challenge the gendered hierarchy. Clinical efficiency and customer satisfaction may be increased by multiprofessional collaboration, while dissatisfaction may also be increasing among professionals lower in the hierarchy as they are seen as less collaborative.…”
Section: Npm In Elderly Carementioning
confidence: 99%
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“…The authors conclude that the unintended consequences are disappointing from the decision-makers' perspective, as elderly care sector reforms are labeled as embodying an increased masculinism that has masculinized the sector. In a conceptual paper, Hedegaard and Ahl (2013) conclude that NPM transformations have increased the systematic control of healthcare delivery at the expense of healthcare workers, because the performance improvements reproduce rather than challenge the gendered hierarchy. Clinical efficiency and customer satisfaction may be increased by multiprofessional collaboration, while dissatisfaction may also be increasing among professionals lower in the hierarchy as they are seen as less collaborative.…”
Section: Npm In Elderly Carementioning
confidence: 99%
“…Clinical efficiency and customer satisfaction may be increased by multiprofessional collaboration, while dissatisfaction may also be increasing among professionals lower in the hierarchy as they are seen as less collaborative. Innovations in healthcare delivery may change the delivery of care, Hedegaard and Ahl (2013) explain, but this still might not challenge gender inequalities in healthcare; they propose 'that the stress on being collaborative and amenable to change prevents individuals from challenging current social orders ' (p. 152).…”
Section: Npm In Elderly Carementioning
confidence: 99%
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“…Another problem is that new types of professionalism focusing on codification, standardization, and managerial control are challenging and obscuring professional autonomy, discretionary judgement, and personal care (Dahl & Rasmussen, 2012;Fältholm & Jansson, 2008;Tufte, 2013). This transformation has also reproduced rather than challenged the gendered hierarchy (Hedegaard & Ahl, 2013;Sundin & Tillmar, 2010). Furthermore, intensified pressure has worsened working conditions (Rasmussen, 2004), and indicators of precarious employment structures have evolved (Theobald & Szebehely, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…The Swedish public health care sector has been subjected to the introduction of new public management (NPM) strategies that have affected the terms of the health care profession as well as autonomy and working conditions. According to gender researchers Hedegaard and Ahl (2013), the implementation of NPM strategies risk the reproduction and reinforcement of gender hierarchies already existing within the health care organisations (p. 151).…”
Section: Introductionmentioning
confidence: 99%