Management reforms, re-stratification and the adaptation of professional status hierarchies: The case of medicine in publicly owned hospitals
Year:
2023
Type of item:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Language:
Inglese
Format:
Elettronico
Referee:
Sì
Name of journal:
PUBLIC MANAGEMENT REVIEW
ISSN of journal:
1471-9037
Page numbers:
1-24
Keyword:
Medicine; NHS; Management; Adaptation; fsQCA; professional status hierarchies
Short description of contents:
Public management reforms worldwide have triggered processes of re-stratification in professions leading to the emergence of ‘administrative elites’ and potential changes in the nature of social status hierarchies. We investigate the nature of these adjustments and their supporting conditions in the context of English publicly owned hospitals. Applying fsQCA, our analysis shows a form of adaptation of the social status hierarchy of medicine to management demands. However, the emergence of a management criterion for seniority is only apparent under certain conditions. This suggests a form of path-dependent adaptation which reinforces, rather than challenges, the status position of elite doctors.
Kirkpatrick, Ian; Zardini, Alessandro; Veronesi, Gianluca,
Management reforms, re-stratification and the adaptation of professional status hierarchies: The case of medicine in publicly owned hospitals«PUBLIC MANAGEMENT REVIEW»
, 2023
, pp. 1-24