The Professionalization of General Practitioners with a Special Interest

Rationalization, Restratification and Governmentality

Dados Bibliográficos

ID2321887
AutoresSusan Pickard (0000-0003-3429-8880, University of Manchester, autor correspondente)
Ano2009
Volume43
Fascículo2
Páginas250-267
Data de publicação2009-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology (JOURNAL)
Identificadores do periódicoISSN: 0038-0385 • E-ISSN: 1469-8684
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/0038038508101164
OpenAlexW2046439910
IdiomaEN
Citações recebidas27
Referências citadas25

This article critically examines the professionalization of General Practitioners with Special Interests (GPSIs) in the UK. Drawing on empirical research it examines the rationale for the establishment of this professional grouping; the construction of the field of expertise; the negotiation of boundaries with other professions; issues of professional control and autonomy; and internal organization. It concludes that the professionalization of GPSIs is leading to a restratification within the UK medical profession, which continues the Department of Health-led shift in the balance of power from secondary to primary care. This restratification, which enhances GPSIs' work satisfaction, status and in some cases remuneration, is heavily intertwined with managerial and bureaucratic accountabilities, advancing the 'reprofessionalization' of medicine and continuing the shift in the boundaries between political and professional jurisdictions. It is posited that this trend is confined neither to one profession nor to the UK

Autonomy · Bureaucracy · Governmentality · Negotiation · Political science · Politics · Power (physics) · Professionalization · Public relations · Rationalization (economics) · Remuneration · Social science · Sociology · Healthcare innovation and challenges · Healthcare Systems and Challenges · Law · Primary Care and Health Outcomes · Public Administration