Abstract
In this chapter, we draw on a theory of ‘modest foundationalism’ (Little et al., 2011, 2012; Little, 2014) as a means of shedding fresh light on the persistence of strict boundaries between the medical profession and other occupations, including other healthcare occupations such as nursing and allied health.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Abbott, A. (1988) The System of Professions. Chicago, IL: University of Chicago Press.
Abbott, A. (1995) ‘Things of boundaries: defining the boundaries of social inquiry’, Social Research, 62: 857–882.
Afuah, A. (2003) ‘Redefining firm boundaries in the face of the Internet: are firms really shrinking?’ Academy of Management Review, 28: 34–53.
Battilana, J. (2011) ‘The enabling role of social position in diverging from the institutional status quo: evidence from the UK NHS’, Organization Science, 22: 817–834.
Broom, A. (2005) ‘Medical specialists’ accounts of the impact of the Internet on the doctor/patient relationship’, Health, 9: 319–338.
Brown, J. and Duguid, P. (1991) ‘Organizational learning and communities of practice: towards a unified view of working, learning, and innovation’, Organization Science, 2: 40–57.
Calnan, M. and Gabe, J. (1991) ‘Recent developments in general practice: a sociological analysis’, in J. Gabe, M. Calnan and M. Bury (eds.), The Sociology of the Health Service. London: Routledge, pp. 140–162.
Carr-Saunders, A. and Wilson, P. (1933) The Professions. Oxford: Clarendon.
Crompton, R. (1990) ‘Professions in the current context’, Work, Employment and Society, Special Issue, 4: 147–166.
Currie, G., Koteyko N. and Nerlich, B. (2009) ‘The dynamics of professions and development of new roles in public services organizations: the case of modern matrons in the English NHS’, Public Administration, 87: 295–311.
Currie, G., Lockett, A., Finn, R., Martin, G. and Waring, J. (2012) ‘Institutional work to maintain professional power: recreating the model of medical professionalism’, Organization Studies, 33: 937–962.
Degeling, P. and Maxwell, S. (2004) ‘The negotiated order of health care’, Journal of Health Services Research, 14: 36–48.
Denis, J.-L., Lamothe, L., Langley, A. and Valette, A. (1999) ‘The struggle to redefine boundaries in health care systems’, in D. Brock, M. Powell and C. R. Hinings (eds.), Restructuring the Professional Organization. London: Routledge, pp. 105–130.
Dingwall, R. (2004) ‘Professions and social order in a global society’, Revista Electrónica de Investigación Educativa, 6: 1–12.
Empson, L., Cleaver, I. and Allen, J. (2013) ‘Managing partners and management professionals: institutional work dyads in professional partnerships’, Journal of Management Studies, 50: 808–844.
Fitzgerald, L. and Ferlie, E. (2000) ‘Professionals: back to the future?’ Human Relations, 53: 713–739.
Freidson, E. (1970) Profession of Medicine: A Study of the Sociology of Applied Knowledge. New York: Dodd, Mead.
Freidson, E. (1973) ‘Professions and the occupation principle’, in E. Freidson (ed.), The Professions and Their Prospects. Beverly Hills: Sage, pp. 19–38.
Freidson, E. (1986) Professional Powers. Chicago: University of Chicago Press.
Freidson, E. (1994) Professionalism Reborn. Chicago: University of Chicago Press.
Freidson, E. (2001) Professionalism: The Third Logic. Chicago: University of Chicago Press.
Fulford, W., Peile, E. and Carroll, H. (2012) Essential Values-Based Practice: Clinical Stories Linking Science with People. Cambridge: Cambridge University Press.
Goode, W. (1957) ‘Community within a community: the professions’, American Sociological Review, 22: 194–200.
Goodrick, E. and Reay, T. (2010) ‘Florence nightingale endures: legitimizing a new professional role identity’, Journal of Management Studies, 47: 55–84.
Goretzki, L., Strauss, E. and Weber, J. (2013) ‘An institutional perspective on the changes in management accountants’ professional role’, Management Accounting Research, 24: 41–63.
Greenwood, E. (1957) ‘Attributes of a profession’, Social Work, 2: 45–55.
Hafferty, F. (1988) ‘Theories at the crossroads: a discussion of evolving views on medicine as a profession’, The Milbank Quarterly, 66: 202–225.
Hall, M., Dugan E., Zheng B. and Mishra A. (2001) Trust in physicians and medical institutions: what is it, can it be measured, and does it matter?’ The Milbank Quarterly, 79: 613–639.
Kerosuo, H. (2006) Boundaries in Action: An Activity-Theoretical Study of Development, Learning and Change in Health Care for Patients with Multiple and Chronic Illnesses. Helsinki: Helsinki University Press.
Kogut, B. and Zander, U. (1996) ‘What do firms do? Coordination, identity, and learning’, Organization Science, 7: 502–518.
Lamont, M. and Molnar, V. (2002) ‘The study of boundaries in the social sciences’, Annual Review of Sociology, 28: 167–195.
Larson, M. (1977) The Rise of Professionalism: A Sociological Analysis. Berkeley: University of California Press.
Lewis, C. and Montgomery, K. (1992) ‘Primary care physicians’ refusal to care for HIV-infected patients’. Western Journal of Medicine, 156: 36–38.
Little, M. (2014) ‘Values, foundations, and being human’, in M. Loughlin, (ed.), Debates in Values-Based Practice. Cambridge: Cambridge University Press, pp. 171–183.
Little, M., Lipworth W., Gordon J., Markham, P. and Kerridge I. (2011) ‘Another argument for values-based medicine’, The International Journal of Person-Centered Medicine, 1: 649–656
Little, M., Lipworth, W., Gordon, J., Markham, P. and Kerridge, I. (2012) ‘Values-based medicine and modest foundationalism’, Journal of Evaluation in Clinical Practice, 18: 1020–1026.
Maslow, A. (1943) ‘A theory of human motivation’, Psychological Review, 50: 370–396.
McCann, L., Granter, E., Hyde, P. and Hassard, J. (2013) ‘Still blue-collar after all these years: an ethnography of the professionalization of emergency ambulance work’, Journal of Management Studies, 50: 750–776.
Mechanic, D. (1998) ‘The functions and limitations of trust in the provision of medical care’, Journal of Health Politics, Policy and Law, 23: 661–686.
Millerson, G. (1964) The Qualifying Associations: A Study in Professionalization. London: Routledge and Kegan Paul.
Montgomery, K. and Oliver, A. (2007) ‘A fresh look at how professions take shape: dual-directed networking dynamics and social boundaries’, Organization Studies, 28: 661–687.
Muzio, D., Brock, D. and Suddaby, R. (2013) ‘Professions and institutional change: towards an institutionalist sociology of the professions’, Journal of Management Studies, 50: 699–721.
Nancarrow, S. and Borthwick, A. (2005) ‘Dynamic professional boundaries in the healthcare workforce’, Sociology of Health and Illness, 27: 897–919.
Parsons, T. (1939) ‘The professions and social structure’, Social Forces, 17: 457–67.
Pilnick, A. and Dingwall, R. (2011) ‘On the remarkable persistence of asymmetry in doctor/patient interaction: a critical review’, Social Science and Medicine, 72: 1374–1382.
Powell, A. and Davies, H. (2012) ‘The struggle to improve patient care in the face of professional boundaries’, Social Science and Medicine, 75: 807–814.
Ramirez, C. (2009) ‘Constructing the governable small practitioner: the changing nature of professional bodies and the management of professional accountants’ identities in the UK’, Accounting Organizations and Society, 34: 381–408.
Rao, H. (1998) ‘Caveat emptor: the construction of nonprofit consumer watchdog organizations’, American Journal of Sociology, 103: 912–961.
Roth, J. (1974) ‘Professionalism: the sociologist’s decoy’, Work and Occupations, 1: 6–23.
Sanders, T. and Harrison, S. (2008) ‘Professional legitimacy claims in the multi-disciplinary workplace: the case of heart failure care’, Sociology of Health and Illness, 30: 289–308.
Scott, W. R. (2008) ‘Lords of the dance: professionals as institutional agents’, Organization Studies, 29: 219–238.
Smith, A. (1776/1976) The Theory of Moral Sentiments. Oxford: Clarendon Press.
Vollmer H. and Mills, D. (eds.) (1966) Professionalization. Englewood Cliffs, NJ: Prentice Hall.
Editor information
Editors and Affiliations
Copyright information
© 2015 Kathleen Montgomery, Wendy Lipworth and Louise Fitzgerald
About this chapter
Cite this chapter
Montgomery, K., Lipworth, W., Fitzgerald, L. (2015). The Persistence of Professional Boundaries in Healthcare: A Re-examination Using a Theory of Foundational Values. In: Waldorff, S.B., Pedersen, A.R., Fitzgerald, L., Ferlie, E. (eds) Managing Change. Organizational Behaviour in Health Care Series. Palgrave Macmillan, London. https://doi.org/10.1057/9781137518163_6
Download citation
DOI: https://doi.org/10.1057/9781137518163_6
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-56561-0
Online ISBN: 978-1-137-51816-3
eBook Packages: Palgrave Business & Management CollectionBusiness and Management (R0)