Rethinking professional prerogative

Managed care represents a response to the wider institutional demand for technical rationality and efficiency. In the US, managed care exemplifies the commodification of health and is governed by a technocratic-rationality that often conflicts with the professionally governed value rationality of providers. Providers must negotiate between contradictory institutional demands for cost containment and quality care in their everyday work practices, and consequently experience a series of ethical dilemmas. This paper examines the effect the commodification of health care has had upon the work of mental health care providers, their loss of professional prerogative, their concrete experience of the ethical dilemmas which result from the commodification of care, and evidence of countervailing power

Business · Commodification · Economics · Health care · Mental health · Negotiation · Political science · Politics · Prerogative · Psychiatry · Public relations · Rationality · Social science · Sociology · Historical Psychiatry and Medical Practices · Law · Medicine · Mental Health and Patient Involvement · Mental Health and Psychiatry · Nursing

• Digital Healthcare and Expertise

  Open Access•Claudia Egher•Digital Healthcare and Expertise•2023

  Incluir item

• Vol. 14 No. 2 (2024)

  Open Access•Fredrik Thue•Professions and Professionalism•2024

  Incluir item

• Norms for priority setting among health professionals

  Open Access•Olaug S Lian, Olaug Lian•Sociology of Health & Illness•2001

  Incluir item

• Managed Care and the Rationalization of Mental Health Services

  Teresa L Scheid•Journal of Health and Social…•2003

  Incluir item

• Dutch Therapists’ Professional Autonomy and Moral Agency After the Marketization and Bureaucratization of Mental Healthcare

  Open Access•Linda Krikken Mulders, Evelien Tonkens et al.•Professions and Professionalism•2024

  Incluir item

• Opening the Gift

  Open Access•S T C Ootes, J Pols et al.•Culture Medicine and Psychiatry•2012

  Incluir item

• Envisaging the healthcare sector as a field

  Open Access•Fran Collyer, Fran M Collyer•Social Theory & Health•2017

  Incluir item

• The Challenges in Providing Services to Clients with Mental Illness

  Open Access•Gila M Acker•Community Mental Health Journal•2009

  Incluir item

• Changing the nature of physician referral relationships in the US

  Open Access•D Anthony•Social Science & Medicine•2003

  Incluir item

• Theorising medical psychotherapy

  Open Access•Sabine Flick•European Journal of Social Theory•2021

  Incluir item

• Making connections

  Open Access•Lesley Griffiths•Sociology of Health & Illness•2003

  Incluir item

• Mental health monopoly

  Open Access•Phil Brown, Elizabeth Cooksey•Social Science & Medicine•1989

  Incluir item

• Managed mental health care

  Open Access•Patricia Backlar•Community Mental Health Journal•1996

  Incluir item

• Talking contracts and taking care

  Open Access•Lesley Griffiths, David Hughes•Social Science & Medicine•2000

  Incluir item

• Psychosocial work environment in human service organizations

  Open Access•Björn Söderfeldt, Marie Söderfeldt et al.•Social Science & Medicine•1996

  Incluir item

• Professional Dynamics and the Changing Nature of Medical Work

  Frederic W Hafferty, Donald W Light•Journal of Health and Social…•1995

  Incluir item

• Medical Sociology and the Study of Severe Mental Illness

  Judith A Cook, Judith Α Cook et al.•Journal of Health and Social…•1995

  Incluir item

• Effects of Organizational Innovations in Aids Care on Burnout among Urban Hospital Nurses

  Open Access•Linda H Aiken, Douglas M Sloane•Work and Occupations•1997

  Incluir item