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Hybrid manager-professionals' identity work : the maintenance and hybridization of medical professionalism in managerial contexts

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McGivern, Gerry, Currie, Graeme, Ferlie, Ewan, Fitzgerald, Louise and Waring, Justin (2015) Hybrid manager-professionals' identity work : the maintenance and hybridization of medical professionalism in managerial contexts. Public administration, 93 (2). pp. 412-432. doi:10.1111/padm.12119

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Official URL: http://dx.doi.org/10.1111/padm.12119

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Abstract

We examine the ‘identity work’ of manager–professional ‘hybrids’, specifically medical professionals in managerial roles in the British National Health Service, to maintain and hybridize their professional identity and wider professionalism in organizational and policy contexts affected by managerialist ideas. Empirically, we differentiate between ‘incidental hybrids’, who represent and protect traditional institutionalized professionalism while temporarily in hybrid roles, and ‘willing hybrids’, who developed hybrid professional–managerial identities during formative identity work or later in reaction to potential professional identity violations. Questions about willing hybrids' professional identities led them to challenge and disrupt institutionalized professionalism, and use and integrate professionalism and managerialism, creating more legitimate hybrid professionalism in their managerial context. By aligning professionalism with their personal identity, and regulating and auditing other professionals, willing hybrids also position hybrids collectively as elite within their profession.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management
Faculty of Social Sciences > Warwick Business School > Innovation, Knowledge & Organisational Networks Research Unit
Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Health services administration
Journal or Publication Title: Public administration
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0033-3298
Official Date: June 2015
Dates:
DateEvent
June 2015Published
23 January 2014Available
5 May 2014Accepted
27 August 2013Submitted
Volume: 93
Number: 2
Number of Pages: 21
Page Range: pp. 412-432
DOI: 10.1111/padm.12119
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: Economic and Social Research Council (Great Britain) (ESRC), National Institute for Health Research (Great Britain). Service Delivery and Organisation Programme (NIHR SDO)
Grant number: 08/1201/021 (NIHR SDO), 08/1518/102 (NIHR SDO)

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