IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v180y2017icp76-84.html
   My bibliography  Save this article

Bureaucratization and medical professionals’ values: A cross-national analysis

Author

Listed:
  • Racko, Girts

Abstract

Understanding the impact of the bureaucratization of governance systems on the occupational values of medical professionals is a fundamental concern of the sociological research of healthcare professions. While previous studies have examined the impact of bureaucratized management, organizations, and healthcare fields on medical professionals’ values, there is a lack of cross-national research on the normative impact of the bureaucratized systems of national governance. Using the European Social Survey data for 29 countries, this study examines the impact of the bureaucratization of national governance systems on the occupational values of medical professionals. The findings indicate that medical professionals who are employed in countries with the more bureaucratized systems of national governance are less concerned with openness to change values, that emphasize autonomy and creativity, and self-transcendence values, that emphasize common good. The findings also indicate that the negative effect of the bureaucratization of national governance on the openness to change values is stronger for medical professionals in more bureaucratized organizations with more rationalized administration systems.

Suggested Citation

  • Racko, Girts, 2017. "Bureaucratization and medical professionals’ values: A cross-national analysis," Social Science & Medicine, Elsevier, vol. 180(C), pages 76-84.
    • Handle: RePEc:eee:socmed:v:180:y:2017:i:c:p:76-84
    DOI: 10.1016/j.socscimed.2017.03.027
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953617301739
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2017.03.027?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hunter, David J., 1996. "The changing roles of health care personnel in health and health care management," Social Science & Medicine, Elsevier, vol. 43(5), pages 799-808, September.
    2. Girts Racko & Brendan Burchell, 2013. "The role of technical progress, professionalization and Christian religion in occupational gender segregation: a cross-national analysis," Work, Employment & Society, British Sociological Association, vol. 27(4), pages 581-599, August.
    3. Gross, Revital & Tabenkin, Hava & Brammli-Greenberg, Shuli, 2007. "Factors affecting primary care physicians' perceptions of health system reform in Israel: Professional autonomy versus organizational affiliation," Social Science & Medicine, Elsevier, vol. 64(7), pages 1450-1462, April.
    4. Marjoribanks, Tim & Lewis, Jenny M., 2003. "Reform and autonomy: perceptions of the Australian general practice community," Social Science & Medicine, Elsevier, vol. 56(10), pages 2229-2239, May.
    5. Waring, Justin & Bishop, Simon, 2013. "McDonaldization or Commercial Re-stratification: Corporatization and the multimodal organisation of English doctors," Social Science & Medicine, Elsevier, vol. 82(C), pages 147-155.
    6. Tousijn, Willem & Giorgino, Vincenzo Mario Bruno, 2009. "The complexities of negotiating governance change: introducing managerialism in Italy," Health Economics, Policy and Law, Cambridge University Press, vol. 4(3), pages 329-346, July.
    7. Kitchener, Martin & Caronna, Carol A. & Shortell, Stephen M., 2005. "From the doctor's workshop to the iron cage? Evolving modes of physician control in US health systems," Social Science & Medicine, Elsevier, vol. 60(6), pages 1311-1322, March.
    8. Toth, Federico, 2015. "Sovereigns under Siege. How the medical profession is changing in Italy," Social Science & Medicine, Elsevier, vol. 136, pages 128-134.
    9. Southon, Gray & Braithwaite, Jeffrey, 1998. "The end of professionalism?," Social Science & Medicine, Elsevier, vol. 46(1), pages 23-28, January.
    10. Potter, Sharyn J. & McKinlay, John B., 2005. "From a relationship to encounter: an examination of longitudinal and lateral dimensions in the doctor-patient relationship," Social Science & Medicine, Elsevier, vol. 61(2), pages 465-479, July.
    11. Graeme Currie & Rachael Finn & Graham Martin, 2009. "Professional competition and modernizing the clinical workforce in the NHS," Work, Employment & Society, British Sociological Association, vol. 23(2), pages 267-284, June.
    12. Power, Michael, 1999. "The Audit Society: Rituals of Verification," OUP Catalogue, Oxford University Press, number 9780198296034, Decembrie.
    13. Lin, Katherine Y., 2014. "Physicians' perceptions of autonomy across practice types: Is autonomy in solo practice a myth?," Social Science & Medicine, Elsevier, vol. 100(C), pages 21-29.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Myra Sosas & Neifertiti B. Gosiengfiao, 2021. "Practice of Professional Values of Hospital Nurses in Bacolod City," Technium Social Sciences Journal, Technium Science, vol. 18(1), pages 625-638, April.
    2. Ortiga, Yasmin Y. & Diño, Michael Joseph & Macabasag, Romeo Luis A., 2022. "Clocking out: Nurses refusing to work in a time of pandemic," Social Science & Medicine, Elsevier, vol. 305(C).
    3. repec:thr:techub:10018:y:2021:i:1:p:625-638 is not listed on IDEAS
    4. Girts Racko, 2019. "Does Economic Rationalization Decrease or Increase Accounting Professionals’ Occupational Values?," Journal of Business Ethics, Springer, vol. 158(3), pages 763-777, September.
    5. Gifford, Rachel & Molleman, Eric & van der Vaart, Taco, 2022. "Two sides to every coin: Assessing the effects of moving physicians to employment contracts," Social Science & Medicine, Elsevier, vol. 292(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gifford, Rachel & Molleman, Eric & van der Vaart, Taco, 2022. "Two sides to every coin: Assessing the effects of moving physicians to employment contracts," Social Science & Medicine, Elsevier, vol. 292(C).
    2. Andreassen, Hege K. & Kjekshus, Lars Erik & Tjora, Aksel, 2015. "Survival of the project: A case study of ICT innovation in health care," Social Science & Medicine, Elsevier, vol. 132(C), pages 62-69.
    3. Gross, Revital & Tabenkin, Hava & Brammli-Greenberg, Shuli, 2007. "Factors affecting primary care physicians' perceptions of health system reform in Israel: Professional autonomy versus organizational affiliation," Social Science & Medicine, Elsevier, vol. 64(7), pages 1450-1462, April.
    4. Guénin-Paracini, Henri & Malsch, Bertrand & Paillé, Anne Marché, 2014. "Fear and risk in the audit process," Accounting, Organizations and Society, Elsevier, vol. 39(4), pages 264-288.
    5. Loke-Min Foo & Darinka Asenova & Stephen Bailey & John Hood, 2011. "Stakeholder Engagement and Compliance Culture," Public Management Review, Taylor & Francis Journals, vol. 13(5), pages 707-729, June.
    6. Mennicken, Andrea, 2006. "Translation and standardisation: audit world building in Post-Soviet Russia," LSE Research Online Documents on Economics 3033, London School of Economics and Political Science, LSE Library.
    7. Williams, Allison M. & Caron, Michelle V. & McMillan, Maria & Litkowich, Anne & Rutter, Noreen & Hartman, Arlete & Yardley, John, 2001. "An evaluation of contracted palliative care home care services in Ontario, Canada," Evaluation and Program Planning, Elsevier, vol. 24(1), pages 23-31, February.
    8. repec:dau:papers:123456789/3505 is not listed on IDEAS
    9. Harris, Rebecca & Mosedale, Sarah & Garner, Jayne & Perkins, Elizabeth, 2014. "What factors influence the use of contracts in the context of NHS dental practice? A systematic review of theory and logic model," Social Science & Medicine, Elsevier, vol. 108(C), pages 54-59.
    10. Nolas, Sevasti-Melissa, 2011. "Reflections on the enactment of children's participation rights through research: Between transactional and relational spaces," Children and Youth Services Review, Elsevier, vol. 33(7), pages 1196-1202, July.
    11. Mathias Ericson, 2018. "“Sweden Has Been Naïve”: Nationalism, Protectionism and Securitisation in Response to the Refugee Crisis of 2015," Social Inclusion, Cogitatio Press, vol. 6(4), pages 95-102.
    12. Jennifer Jo Thompson & A. June Brawner & Usha Kaila, 2017. "“You can’t manage with your heart”: risk and responsibility in farm to school food safety," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 34(3), pages 683-699, September.
    13. Marta Solórzano-García & Julio Navío-Marco & Luis Manuel Ruiz-Gómez, 2019. "Ambiguity in the Attribution of Social Impact: A Study of the Difficulties of Calculating Filter Coefficients in the SROI Method," Sustainability, MDPI, vol. 11(2), pages 1-19, January.
    14. Tom Willems & Wouter Van Dooren, 2012. "Coming to Terms with Accountability," Public Management Review, Taylor & Francis Journals, vol. 14(7), pages 1011-1036, January.
    15. Rob Imrie & Emma Street, 2009. "Risk, Regulation and the Practices of Architects," Urban Studies, Urban Studies Journal Limited, vol. 46(12), pages 2555-2576, November.
    16. Toth, Federico, 2015. "Sovereigns under Siege. How the medical profession is changing in Italy," Social Science & Medicine, Elsevier, vol. 136, pages 128-134.
    17. Franck Aggeri & Morgane Le Breton, 2016. "The regulation of transparency in the field of CSR," Post-Print halshs-01368029, HAL.
    18. Wæraas, Arild, 2015. "Putting on the velvet glove: The paradox of "soft" core values in "hard" organizations," Working Paper Series 09-2015, Norwegian University of Life Sciences, School of Economics and Business.
    19. Ruhnke, Klaus, 2023. "Empirical research frameworks in a changing world: The case of audit data analytics," Journal of International Accounting, Auditing and Taxation, Elsevier, vol. 51(C).
    20. Pentland, Brian T., 2000. "Will auditors take over the world? Program, technique and the verification of everything," Accounting, Organizations and Society, Elsevier, vol. 25(3), pages 307-312, April.
    21. Frankish, C. James & Kwan, Brenda & Ratner, Pamela A. & Higgins, Joan Wharf & Larsen, Craig, 2002. "Social and political factors influencing the functioning of regional health boards in British Columbia (Canada)," Health Policy, Elsevier, vol. 61(2), pages 125-151, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:180:y:2017:i:c:p:76-84. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.