Understanding professional stratification and hybridisation in the medical profession

Exploratory evidence from Brazilian federal university hospitals

Datos Bibliográficos

ID21382151
AutoresErik Persson (0000-0002-3175-1320, King's College London), Ewan Ferlie (0000-0003-2947-5141, King's College London), Juan I Baeza (0000-0003-2032-4507, King's College London)
Año2021
Volumen55
Número5
Páginas1034-1076
Fecha de publicación2021-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaRevista de Administração Pública (JOURNAL)
Identificadores de la revistaISSN: 0034-7612 • E-ISSN: 1982-3134
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0034-761220200792
OpenAlexW4206391897
SCIELO_PIDS0034-76122021000501034
IdiomaEN
Citas recibidas4
Referencias citadas50

This paper explores drivers, implications, and trends of professional stratification and hybridisation in the medical profession employed in Brazilian substituir por: federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions of the migration of university hospitals to EBSERH, a public company established by the federal government to manage and organise HUFs integrated into the Unified Health System (SUS). Our research shows that transferring hospital administration to EBSERH has led to further internal stratification of the medical workforce. The shift from the logic of medical-academic professionalism to the new logic of business-like healthcare, with the adoption of distinct job contracts and more managerial logics of work and control, may well be changing subjective and formal links established between professionals, universities, and hospitals. We identify and discuss trends towards hybridisation and dehybridisation. These findings are relevant because this shift can have profound implications for the academic nature of HUFs and for the future of professionalism within these health and teaching organisations

Government (linguistics) · Health care · Health professionals · Medical education · Political science · Public relations · Stratification (seeds) · Workforce · Health, Nursing, Elderly Care · Management and Organizational Studies · Medicine · Primary Care and Health Outcomes