Dynamic Professional Boundaries in the Healthcare Workforce
Опубликовано на портале: 04-03-2007
Sociology of Health and Illness.
2005.
Vol. 27.
No. 7.
P. 897-919.
Тематические разделы:
The healthcare professions have never been static in terms of their own disciplinary
boundaries, nor in their role or status in society. Healthcare provision has been
defined by changing societal expectations and beliefs, new ways of perceiving health
and illness, the introduction of a range of technologies and, more recently, the
formal recognition of particular groups through the introduction of education and
regulation. It has also been shaped by both inter-professional and profession-state
relationships forged over time. A number of factors have converged that place new
pressures on workforce boundaries, including an unmet demand for some healthcare
services; neo-liberal management philosophies and a greater emphasis on consumer
preferences than professional-led services. To date, however, there has been little
analysis of the evolution of the workforce as a whole. The discussion of workforce
change that has taken place has largely been from the perspective of individual disciplines.
Yet the dynamic boundaries of each discipline mean that there is an interrelationship
between the components of the workforce that cannot be ignored. The purpose of this
paper is to describe four directions in which the existing workforce can change:
diversification; specialisation and vertical and horizontal substitution, and to
discuss the implications of these changes for the workforce.
Ключевые слова
consumerism in medicine health care medical power medicine as profession власть врача здравоохранение консьюмеризм в медицине медицина как профессия
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