Knights” or “Knaves”? Public Policy, Professional Power, and Reforming Maternity Services

Datos Bibliográficos

ID15217751
AutoresKerreen Reiger (La Trobe University, autor de correspondencia), Kerreen M Reiger
Año2010
Volumen32
Número1
Páginas2-22
Fecha de publicación2010-12-11
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaHealth Care For Women International (JOURNAL)
Identificadores de la revistaISSN: 0739-9332 • E-ISSN: 1096-4665
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/07399332.2010.529218
PMID21154071
OpenAlexW2028855600
IdiomaEN
Citas recibidas5
Referencias citadas45

Recent quality and safety discourse stresses locating "human errors and mistakes" within an institutional framework. I go further to contend that, in spite of well-meaning individual practitioners, aspects of a powerful, self-interested obstetric professional culture pose a major barrier to quality childbirth care. Using my analysis, I contrast the profession's "knightly" self-image with critical scholarship, and it examine evidence given to public inquiries into obstetric misdemeanors and mistakes in Australia, England, and Ireland. Policy incentives to reform maternity care need to go beyond technical auditing measures to foster collaboration, social as well as institutional accountability, and critical self-reflection within the obstetric profession

Accountability · Audit · Business · Childbirth · Economics · Government (linguistics · Incentive · Meaning (existential · Political science · Power (physics · Public relations · Quality (philosophy · Scholarship · Sociology · Health and Conflict Studies · Law · Livestock Management and Performance Improvement · Medicine · Nursing · Psychology · Social Issues and Policies · Accounting