The Medical Council in Belgian hospitals: A political perspective
The Medical Council in Belgian hospitals: A political perspective
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比利时医院的医疗委员会：政治视角
DOI：
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
R. Schepers
中科院分区：
文献类型：
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作者：
G. Gourdin;R. Schepers
摘要原型理论在处理专业组织的“管理化”的文献中获得了突出地位。然而，这一理论受到了批评。由于其功能主义的遗产，它低估了机构在组织结构或其变化中的作用。在这一批判之后，我们发展了一个关于职业-管理关系的政治视角.这种观点强调组织和统治的相互联系。然而，控制不仅适用于工人和工作，“规则的规则”意味着统治者也是监管的对象。代理将直接对规则的创建产生影响。组织结构的设计最终是为了控制职业代理和管理代理。不应将结构的制定视为工作质量或组织业绩的函数。相反，我们对比利时医院医疗理事会起源的分析表明，它是特定政策过程中的代理机构的结果。
Abstract Archetype-theory gained prominence in the literature dealing with the ‘‘managerialization’’ of professional organizations. However, this theory has been criticized. Due to its functionalist legacy it underplays the role of agency in the organizational structure or in its change. Following this critique we develop a political perspective on the relation profession – management. Such a view stresses the interlocking of organization and domination. However, control does not just apply to workers and work, a ‘rule by rules’ implies rulers are also object of regulation. Agency will be directed at having an impact on rule creation. In the end organizational structure is designed to control the agency of both profession and management. The elaboration of structure is not to be seen as a function of the qualities of work, or of organizational performance. Rather our analysis of the genesis of the medical council in Belgian hospitals suggest that it results out of agency within a specific policy process.