The role of professional elites in healthcare governance: Exploring the work of the medical director

Lorelei Jones; Naomi Fulop

doi:10.1016/j.socscimed.2021.113882

The role of professional elites in healthcare governance: Exploring the work of the medical director

Lorelei Jones
, Naomi Fulop

Applied Health Research, UCL

Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

261 Wedi eu Llwytho i Lawr (Pure)

Crynodeb

Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on hospital boards is associated with higher quality services. What is not known is how they have this effect. Analysing data collected from observations, interviews and documents from 15 healthcare providers in England (2014-2019), we elaborate the role of medical directors in healthcare governance as 'translation work', 'diplomatic work', and 'repair work'. Our study highlights the often enduring emotional effects of repeated structural changes to clinical services. It also contributes to theories of professional restratification, showing the work of medical directors as regional 'political elites', and as 'corporate elites' in publicly-funded healthcare systems.

Iaith wreiddiol	Saesneg
Rhif yr erthygl	113882
Cyfnodolyn	Social Science and Medicine
Cyfrol	277
Dyddiad ar-lein cynnar	26 Maw 2021
Dynodwyr Gwrthrych Digidol (DOIs)	https://doi.org/10.1016/j.socscimed.2021.113882
Statws	Cyhoeddwyd - Mai 2021

NDC y CU

Mae’r allbwn hwn yn cyfrannu at y Nod(au) Datblygu Cynaliadwy canlynol

NDC 3 Iechyd a Llesiant Da

Mynediad at Ddogfen

10.1016/j.socscimed.2021.113882Trwydded: CC BY-NC-ND

2021 Professional elitesFersiwn derfynol wedi’i chyhoeddi, 450 KBTrwydded: CC BY-NC-ND

Dyfynnu hyn

@article{07aa5b34badc4f44979dc12379aaa80b,

title = "The role of professional elites in healthcare governance: Exploring the work of the medical director",

abstract = "Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on hospital boards is associated with higher quality services. What is not known is how they have this effect. Analysing data collected from observations, interviews and documents from 15 healthcare providers in England (2014-2019), we elaborate the role of medical directors in healthcare governance as 'translation work', 'diplomatic work', and 'repair work'. Our study highlights the often enduring emotional effects of repeated structural changes to clinical services. It also contributes to theories of professional restratification, showing the work of medical directors as regional 'political elites', and as 'corporate elites' in publicly-funded healthcare systems.",

keywords = "Delivery of Health Care, England, Health Policy, Hospitals, Humans, Physician Executives",

author = "Lorelei Jones and Naomi Fulop",

year = "2021",

month = may,

doi = "10.1016/j.socscimed.2021.113882",

language = "English",

volume = "277",

journal = "Social Science and Medicine",

issn = "0277-9536",

publisher = "Elsevier Limited",

}

TY - JOUR

T1 - The role of professional elites in healthcare governance

T2 - Exploring the work of the medical director

AU - Jones, Lorelei

AU - Fulop, Naomi

PY - 2021/5

Y1 - 2021/5

N2 - Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on hospital boards is associated with higher quality services. What is not known is how they have this effect. Analysing data collected from observations, interviews and documents from 15 healthcare providers in England (2014-2019), we elaborate the role of medical directors in healthcare governance as 'translation work', 'diplomatic work', and 'repair work'. Our study highlights the often enduring emotional effects of repeated structural changes to clinical services. It also contributes to theories of professional restratification, showing the work of medical directors as regional 'political elites', and as 'corporate elites' in publicly-funded healthcare systems.

AB - Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on hospital boards is associated with higher quality services. What is not known is how they have this effect. Analysing data collected from observations, interviews and documents from 15 healthcare providers in England (2014-2019), we elaborate the role of medical directors in healthcare governance as 'translation work', 'diplomatic work', and 'repair work'. Our study highlights the often enduring emotional effects of repeated structural changes to clinical services. It also contributes to theories of professional restratification, showing the work of medical directors as regional 'political elites', and as 'corporate elites' in publicly-funded healthcare systems.

KW - Delivery of Health Care

KW - England

KW - Health Policy

KW - Hospitals

KW - Humans

KW - Physician Executives

U2 - 10.1016/j.socscimed.2021.113882

DO - 10.1016/j.socscimed.2021.113882

M3 - Article

C2 - 33848720

SN - 0277-9536

VL - 277

JO - Social Science and Medicine

JF - Social Science and Medicine

M1 - 113882

ER -

The role of professional elites in healthcare governance: Exploring the work of the medical director

Crynodeb

NDC y CU

Mynediad at Ddogfen

Ôl bys

Dyfynnu hyn