• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Reshaping professional boundaries and organizational forms in American dentistry: A case study of registered dental hygienists in alternative practice.
【24h】

Reshaping professional boundaries and organizational forms in American dentistry: A case study of registered dental hygienists in alternative practice.

机译：重塑美国牙科领域的专业界限和组织形式：以替代实践为例的注册牙科保健员的案例研究。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

During the past century the field of dental care has evolved to be stable, mature, and highly oriented to a set of institutional logics, particularly entrepreneurship and autonomy, that support the traditional organizational archetype (ideal type model) of solo private-practice dentistry. Since the 1970s, dental hygienists have been working to realign the occupational structure in oral health by challenging both the professional dominance of dentistry and the traditional organization of dental care services.The study combines insights from the sociology of the professions on the agency of emerging occupations seeking to advance a professional project with insights from organization theory on institutional entrepreneurship to explore a case study of the development of Registered Dental Hygienists in Alternative Practice (RDHAP) in California. This mixed-method case study was developed from qualitative data, including key informant interviews, archival data, media analyses, and two quantitative surveys examining the RDHAP work force. A theoretical model for understanding the institutional agency of emerging professions was developed that provides a link between the study of professions and the study of organizations in health care.This study explores the movement for independent hygiene practice, which entailed a politicized battle between organized dentistry and dental hygiene that played out in their respective professional associations, the legislature, the courts, the business community, and the media. This conflict led to the development of a new category of hygienists who are allowed to work independently in underserved areas and to the introduction of an alternative practice archetype that now co-exists in the field and is underpinned by a unique interpretive scheme (values and beliefs), structures, and systems. The alternative archetype is built on providing mobile preventive dental hygiene care in a collaborative manner within underserved communities and institutions. This new organizational form has not yet been fully institutionalized as it does not yet have the resources and legitimacy of the traditional model. Expansion of the specific model is hampered by a regulatory structure that inhibits the diffusion of innovation across state lines however, similar efforts are underway in other states, contributing to the wider adoption of this general practice model.
机译：在过去的一个世纪中，牙科保健领域已经发展成为稳定，成熟和高度面向一套制度逻辑，尤其是企业家精神和自主权，这些逻辑支持传统的私人执业牙科组织原型（理想类型模型）。自1970年代以来，牙科保健员一直在通过挑战牙科的专业地位和传统的牙科保健服务组织来调整口腔卫生的职业结构，该研究结合了来自职业社会学的新兴职业代理机构的见解。力求通过机构企业家精神的组织理论发展专业项目，以探索加利福尼亚州替代实践中注册牙科保健员（RDHAP）发展的案例研究。这项混合方法的案例研究是从定性数据发展而来的，包括主要的线人访谈，档案数据，媒体分析以及两项审查RDHAP劳动力的定量调查。建立了一种理解新兴专业机构的理论模型，该模型为专业研究和卫生保健组织研究之间的联系提供了联系。本研究探讨了独立卫生实践的运动，这导致了有组织的牙科和医疗之间的政治斗争。在各自的专业协会，立法机关，法院，商业界和媒体中发挥作用的牙齿卫生。这场冲突导致了新一类卫生学家的发展，他们被允许在服务不足的地区独立工作，并引入了另一种实践原型，该原型现已在该领域共存，并以独特的解释方案（价值观和信念）为基础），结构和系统。另一种原型是建立在服务不足的社区和机构内以协作方式提供移动预防性牙齿卫生保健的基础上。这种新的组织形式尚未完全制度化，因为它还没有传统模型的资源和合法性。特定模型的扩展受到监管结构的阻碍，该结构抑制了创新在各州之间的扩散，但是，其他州也在进行类似的努力，这为这种通用模式的广泛采用做出了贡献。

著录项

  • 作者

    Mertz, Elizabeth Ann.;

  • 作者单位

    University of California, San Francisco.;

  • 授予单位 University of California, San Francisco.;
  • 学科 Health Sciences Dentistry.Sociology Organizational.Sociology Organization Theory.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 311 p.
  • 总页数 311
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号