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Modernising health careReinventing professions, the state and the public$
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Ellen Kuhlmann

Print publication date: 2006

Print ISBN-13: 9781861348586

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861348586.001.0001

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Hybrid regulation: the rise of networks and managerialism

Hybrid regulation: the rise of networks and managerialism

Chapter:
(p.98) (p.99) Five Hybrid regulation: the rise of networks and managerialism
Source:
Modernising health care
Author(s):

Ellen Kuhlmann

Publisher:
Policy Press
DOI:10.1332/policypress/9781861348586.003.0006

This chapter outlines how the medical profession takes up the regulatory incentives of managerialism and networking and how this relates to changes in the corporatist arrangements and the occupational structure. One central finding is that physicians promote the coexistence of new forms of flexible regulation and classical patterns of self-regulation. Furthermore, the rise of a network culture is currently limited to physicians. It does not significantly impact on the organisational structure of ambulatory care and the work arrangements of physicians. In the long run, however, it may impact on the division of labour and the ‘institutional environments’ in health care as network members expressed more positive attitudes on cooperation with the allied health occupations. Similarly, female physicians' attitudes to patient rights and user participation are more positive than those of male physicians. Consequently, the continuous increase of women in the profession may promote accountability.

Keywords:   medical profession, managerialism, networking, flexible regulation, ambulatory care, patient rights

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