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Governmentality by Network in English Primary Healthcare

Dados Bibliográficos

ID11196705
AutoresRod Sheaff (0000-0002-7984-2627, University of Manchester, autor correspondente), Martin Marshall (0000-0001-8575-5442), Anne Rogers (0000-0002-7231-790X), Martin Roland (0000-0002-8533-3060), Bonnie Sibbald, Susan Pickard (0000-0003-3429-8880, University of Manchester)
Ano2004
Volume38
Fascículo1
Páginas89-103
Data de publicação2004-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSocial Policy and Administration (JOURNAL)
Identificadores do periódicoISSN: 0144-5596 • E-ISSN: 1467-9515
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1467-9515.2004.00378.x
OpenAlexW2147284093
IdiomaEN
Citações recebidas20
Referências citadas20

In England, the quality of clinical work is being regulated in new ways following recent developments in “clinical governance” policy and apparent failures in the previous system of medical self‐regulation. Using multiple case studies, this paper examines how these changes are affecting professional governmentality and discipline in general practice. Formal organizational structures play little role in clinical governance there. Clinical quality is managed largely through semi‐formal networks, relying on medical self‐surveillance. Compliance is achieved largely by discursive appeals to the legitimacy of clinical governance, but local GPs’ leaders also argue that governments might otherwise regulate medical practice more actively. As yet the effects of clinical governance activity on service delivery are slight. Professional self‐regulation is replacing permissive exception management with more collegial, directive methods

Business · Clinical governance · Compliance (psychology · Corporate governance · Directive · Governmentality · Health care · Legitimacy · Political science · Politics · Public relations · Quality (philosophy · Sociology · Work (physics · Healthcare cost, quality, practices · Healthcare Quality and Management · Law · Medical Malpractice and Liability Issues · Psychology · Public Administration

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Obras citantes distintas20
Citações por ano0,95
Intervalo de citações2005 - 2024 (20)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 20
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