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

Dados Bibliográficos

ID15217751
AutoresKerreen Reiger (La Trobe University, autor correspondente), Kerreen M Reiger
Ano2010
Volume32
Fascículo1
Páginas2-22
Data de publicação2010-12-11
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoHealth Care For Women International (JOURNAL)
Identificadores do periódicoISSN: 0739-9332 • E-ISSN: 1096-4665
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/07399332.2010.529218
PMID21154071
OpenAlexW2028855600
IdiomaEN
Citações recebidas5
Referências 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