The role of doctors as health care managers: An international perspective

Durán-Arenas, Luis; Asfura, Murielle Bendeck; Mora, Julio Frenk

doi:10.1016/0277-9536(92)90348-t

Cited by 10 publications

(4 citation statements)

References 15 publications

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“…By contrast, less attention has focused on the responses of clinical professions, although here too one might expect change to path dependent (Kraus 1996). According to Duran‐Arenas et al (1992: 549) nation‐specific ‘relationships between the state, organised medicine, social organisation and the labour market for clinicians’ are key to shaping incentives and ‘career choices’ with regard to management. Degeling et al (2006: 18) also suggest that different attitudes towards management, in their case between doctors in China and Commonwealth states, can be explained by the ‘structural position of medicine’ in each country.…”

Section: Theoretical Considerationsmentioning

confidence: 99%

Medicine and management in a comparative perspective: the case of Denmark and England

Kirkpatrick

Jespersen

Dent

et al. 2009

Sociology Health & Illness

110

122

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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 generalise. 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.

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Section: Theoretical Considerationsmentioning

confidence: 99%

Medicine and management in a comparative perspective: the case of Denmark and England

Kirkpatrick

Jespersen

Dent

et al. 2009

Sociology Health & Illness

110

122

View full text Add to dashboard Cite

show abstract

“…Duran-Arenas et al (1992), for example, note that contextual, organizational and individual levels of analysis are key to understanding participation in, or resistance to, healthcare management. They identify the role of the state, the structure of the medical profession and socialization processes as contextualising factors in accounting for patterns of, and attitudes to, healthcare management in different countries.…”

Section: Introductionmentioning

confidence: 99%

Role-meanings as a critical factor in understanding doctor managers' identity work and different role identities

Cascón‐Pereira

Chillas

Hallier

2016

Social Science & Medicine

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“…Th is, they argue, infl uences professionals' perceptions of their work. Other work uncovers the hybridization of nurses and physicians who also take on managerial tasks in that they work both in the interests of the organization as well as of their profession (Duran-Arenas et al 1992;Hunter 1992).…”

Section: Teasing Apart Relations Between Professions and Organizationsmentioning

confidence: 99%

Comparing Health Professional Work Orientation in French and Canadian Hospitals: Structural Influence of Patients in Open and Closed Units

et al. 2010

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In this paper we present comparative qualitative data on the infl uence of patients on the relationship between health professionals and hospitals in France and Canada. We elaborate specifi cally on a typology that depicts the structural infl uence of patients in terms of open and closed communities. Our analysis reveals some key diff erences between the open and closed communities across the two countries. Health professionals in open communities in France were able to establish a stronger relationship with patients than those in Canada. Professionals in France described a weaker connection with their colleagues than in Canada, and this may be one of the triggers of stress, burnout and high turnover. Th ere were more similarities among closed communities in Canada and France. Conceptualizing the structural infl uence of patients in terms of open and closed community ideal types is a useful heuristic device that moves the implicit and explicit infl uence of patients to the foreground of the analysis of the relations between health professions and organizations. I.L. Bourgeault et al. / Comparative Sociology 9 (2010) [357][358][359][360][361][362][363][364][365][366][367][368][369][370][371][372][373][374][375]

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The role of doctors as health care managers: An international perspective

Cited by 10 publications

References 15 publications

Medicine and management in a comparative perspective: the case of Denmark and England

Medicine and management in a comparative perspective: the case of Denmark and England

Role-meanings as a critical factor in understanding doctor managers' identity work and different role identities

Comparing Health Professional Work Orientation in French and Canadian Hospitals: Structural Influence of Patients in Open and Closed Units

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