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Are new forms of professionalism emerging in medicine? The case of the implementation of NICE guidelines
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Spyridonidis, Dimitrios and Calnan, Michael (2014) Are new forms of professionalism emerging in medicine? The case of the implementation of NICE guidelines. Health Sociology Review, 20 (4). pp. 394-409. doi:10.5172/hesr.2011.20.4.394 ISSN 1446-1242 .
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Official URL: http://dx.doi.org/10.5172/hesr.2011.20.4.394
Abstract
Scientific-bureaucratic medicine (SBM) has been the dominant discourse on evidence-based medicine in the English National Health System (NHS). It has being claimed that SBM has led to new forms of medical professionalism with an emphasis on organisational values and the control of autonomy. This paper explores the medical professions’ response to SBM, where SBM is manifested in the form of National Institute of Health and Clinical Excellence (NICE) guidelines. Seventy-four face-to-face informal interviews were carried out with clinicians and managers between 2007 and 2009. Three major themes emerged from the analysis each of which was linked to doctors’ receptiveness to NICE guidelines implementation. The first emphasised organisational values, which accounted for conditional acceptance of NICE guidelines. The second was proactive professionalism or entrepreneurial professionalism, which was linked to the rejection of NICE guidelines and the emergence of alternative forms of introducing new ideas for the expansion of their clinical practice. The third was related to the prominence of clinical autonomy linked with doctors’ resistance to the use of NICE guidelines. It is argued that this evidence does not reflect a significant emergence of new forms of professionalism but the development of multiple occupational identities.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Social Sciences > Warwick Business School | ||||
| Journal or Publication Title: | Health Sociology Review | ||||
| Publisher: | eContent Management Pty Ltd. | ||||
| ISSN: | 1446-1242 | ||||
| Official Date: | 17 December 2014 | ||||
| Dates: |
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| Volume: | 20 | ||||
| Number: | 4 | ||||
| Page Range: | pp. 394-409 | ||||
| DOI: | 10.5172/hesr.2011.20.4.394 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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