Dynamics between doctors and managers in the Italian National Health Care System

Datos Bibliográficos

ID2249294
AutoresGiovanna Vicarelli (Marche Polytechnic University), Giovanna M Vicarelli (Department of Economic and Social Sciences Marche Polytechnic University Italy), Emmanuele Pavolini (0000-0002-3308-1551, Department of Political Science International Relations and Communication University of Macerata Italy, autor de correspondencia)
Año2017
Volumen39
Número8
Páginas1381-1397
Fecha de publicación2017-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12592
PMID28771765
OpenAlexW2744049728
IdiomaEN
Citas recibidas2
Referencias citadas47

This article focuses on the changes in the Italian NHS by concentrating on patterns in the managerialisation of doctors. It addresses a series of shortcomings in studies on the response by doctors to managerialisation. The first is a shortcoming of theoretical and analytical nature. It is necessary to adopt a broader perspective whereby analysis considers not only the interaction between doctors and managers, but also the public control and regulation agencies that operate in that field. The second shortcoming is a methodological one. The literature on managerialisation is more theoretical than applied. It is necessary to adopt a strategy based on a plurality of methodologies and sources in order to focus attention on a national case (Italy in the present study), discussing the changes over time (from the beginning of managerialisation until today) and considering different groups within the medical profession. The outcome is a complex picture of the dynamics between doctors and managers which foregrounds the managerial co-optation processes of a small group of national health service doctors, the transition from strategic adaptation to forms of resistance against managerialisation by the majority of Italian NHS doctors, and the emergence of restratification processes among self-employed doctors working with the NHS

Adaptation (eye · Business · Control (management · Dynamics (music · Economics · Field (mathematics · Health care · Management · Order (exchange · Perspective (graphical · Political science · Public relations · Resistance (ecology · Service (business · Sociology · Computer Science · Healthcare Quality and Management · Law · Management and Organizational Studies · Management, Economics, and Public Policy · Marketing · Psychology