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Professional relations in sport healthcare: Workplace responses to organisational change

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  • Malcolm, Dominic
  • Scott, Andrea

Abstract

This article examines the impact of organisational changes in UK elite sport on the professional relations among and between different healthcare providers. The article describes the processes by which demand for elite sport healthcare has increased in the UK. It further charts the subsequent response within medicine and physiotherapy and, in particular, the institutionalisation of sport-specific sub-disciplines through the introduction of specialist qualifications. Drawing on semi-structured interviews with 14 doctors and 14 physiotherapists, the article argues that organisational changes have led to intra-professional tensions within both professional groups but in qualitatively different forms reflecting the organisational traditions and professional identities of the respective disciplines. Organisational changes promoting multi-disciplinary healthcare teams have also fostered an environment conducive to high levels of inter-professional cooperation though significant elements of inter-professional conflict remain. This study illustrates how intra-professional relations are affected by specialisation, how legitimation discourses are used by different professions, and how intra- and inter-professional conflict and cooperation should be seen as highly interdependent processes.

Suggested Citation

  • Malcolm, Dominic & Scott, Andrea, 2011. "Professional relations in sport healthcare: Workplace responses to organisational change," Social Science & Medicine, Elsevier, vol. 72(4), pages 513-520, February.
    • Handle: RePEc:eee:socmed:v:72:y:2011:i:4:p:513-520
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    References listed on IDEAS

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    1. Nicholls, David A. & Cheek, Julianne, 2006. "Physiotherapy and the shadow of prostitution: The Society of Trained Masseuses and the massage scandals of 1894," Social Science & Medicine, Elsevier, vol. 62(9), pages 2336-2348, May.
    2. Martin, Graham P. & Currie, Graeme & Finn, Rachael, 2009. "Reconfiguring or reproducing intra-professional boundaries? Specialist expertise, generalist knowledge and the 'modernization' of the medical workforce," Social Science & Medicine, Elsevier, vol. 68(7), pages 1191-1198, April.
    3. Thornquist, Eline, 1994. "Profession and life: Separate worlds," Social Science & Medicine, Elsevier, vol. 39(5), pages 701-713, September.
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    1. Isabel Rodríguez-Costa & Ma Dolores González-Rivera & Catherine Ortega & Joana-Marina Llabrés-Mateu & María Blanco-Morales & Vanesa Abuín-Porras & Belén Díaz-Pulido, 2020. "Professional and Personal Physical Therapist Development through Service Learning in Collaboration with a Prisoner Reinsertion Program: A Qualitative Study," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    2. Adams, Tracey L. & Wannamaker, Kaitlin, 2022. "Professional regulation, profession-state relations and the pandemic response: Australia, Canada, and the UK compared," Social Science & Medicine, Elsevier, vol. 296(C).
    3. Boateng, Godfred O. & Adams, Tracey L., 2016. "“Drop dead … I need your job”: An exploratory study of intra-professional conflict amongst nurses in two Ontario cities," Social Science & Medicine, Elsevier, vol. 155(C), pages 35-42.

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