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Professional Work in Health Care Organizations: The Structural Influences of Patients in French, Canadian and American Hospitals


  • Ivy Lynn Bourgeault
  • Ivan Sainsaulieu
  • Patricia Khokher
  • Kristine Hirschkorn


Although there are several studies of the impact of employment of health professionals in large bureaucratic organizations, there has been significantly less research focused on the structural influence of patients on this relationship. In this paper we present comparative qualitative data gathered on the work experiences of health care professionals in Canadian, U.S. and French hospitals. We elaborate specifically on a typology of structural influence of clients on health care professionals work in hospitals in terms of open and closed units.

Suggested Citation

  • Ivy Lynn Bourgeault & Ivan Sainsaulieu & Patricia Khokher & Kristine Hirschkorn, 2007. "Professional Work in Health Care Organizations: The Structural Influences of Patients in French, Canadian and American Hospitals," Social and Economic Dimensions of an Aging Population Research Papers 204, McMaster University.
  • Handle: RePEc:mcm:sedapp:204

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    health professions; health care organizations; patients; hospitals; physicians; nurses; comparative perspectives;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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