Identity, Contract and Enterprise in a Primary Care Setting

An English General Practice Case Study

Bibliographic Data

ID20501141
AuthorsRuth Mcdonald (0000-0002-3488-4209, University of Manchester, Manchester, UK,, corresponding author), Stephen Harrison (0000-0001-5951-3300, University of Manchester, Manchester, UK,, corresponding author), Kath Checkland (0000-0002-9961-5317, University of Manchester, Manchester, UK,, corresponding author)
Year2008
Volume15
Issue3
Pages355-370
Publication date2008-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOrganization (JOURNAL)
Journal identifiersISSN: 1350-5084 • E-ISSN: 1461-7323
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/1350508408088534
OpenAlexW2104421262
LanguageEN
Citations received17
References cited28

This paper examines the responses of primary health care clinicians (doctors and nurses) to an invitation to enterprise contained in a new contract which offers financial rewards for meeting targets. We suggest that far from being swept along by a hegemonic enterprise discourse or having `no choice but to comply' (Cohen and Musson, 2000: 45), the engagement of our study participants in enterprising behaviours can be understood in terms of a more active process, albeit one characterized by new bureaucratic forms. Rather than riding roughshod over cherished traditional identities, part of the attraction of enterprise in our case study can be understood in terms of its role in assisting enterprising clinicians in managing the tensions inherent in these identities

Bureaucracy · Business · Hegemony · Political science · Politics · Primary care · Public relations · Sociology · Healthcare innovation and challenges · Healthcare Quality and Management · Law · Medicine · Patient-Provider Communication in Healthcare

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