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首页> 外文期刊>Sociology of health & illness >Dynamics between doctors and managers in the Italian National Health Care System
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Dynamics between doctors and managers in the Italian National Health Care System

机译：意大利国家医疗保健系统中医生和管理人员的动态

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Abstract This article focuses on the changes in the Italian NHS by concentrating on patterns in the managerialisation of doctors. It addresses a series of shortcomings in studies on the response by doctors to managerialisation. The first is a shortcoming of theoretical and analytical nature. It is necessary to adopt a broader perspective whereby analysis considers not only the interaction between doctors and managers, but also the public control and regulation agencies that operate in that field. The second shortcoming is a methodological one. The literature on managerialisation is more theoretical than applied. It is necessary to adopt a strategy based on a plurality of methodologies and sources in order to focus attention on a national case (Italy in the present study), discussing the changes over time (from the beginning of managerialisation until today) and considering different groups within the medical profession. The outcome is a complex picture of the dynamics between doctors and managers which foregrounds the managerial co‐optation processes of a small group of national health service doctors, the transition from strategic adaptation to forms of resistance against managerialisation by the majority of Italian NHS doctors, and the emergence of restratification processes among self‐employed doctors working with the NHS .
机译：摘要本文专注于意大利NHS的变化，专注于医生管理层的模式。它涉及关于医生对管理的回应研究的一系列缺点。首先是理论和分析性质的缺点。有必要采用更广泛的观点，而且分析不仅考虑了医生和管理人员之间的互动，还考虑了该领域的公共控制和监管机构。第二个缺点是一种方法论。关于管理的文献比应用更为理论。有必要采用基于多个方法和来源的策略，以便将注意力集中在国家案例（目前研究中的意大利），讨论随时间的变化（从管理层开始到今天），并考虑不同的群​​体在医学界。结果是医生和管理人员之间的动态的复杂图片，该管理者前台前台一小组国家卫生服务医生的管理协调过程，从战略适应到抵抗大多数意大利NHS医生的管理的形式，以及自雇医生​​与NHS合作的克制流程的出现。

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