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Rethinking professional governanceInternational directions in healthcare$
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Ellen Kuhlmann and Mike Saks

Print publication date: 2008

Print ISBN-13: 9781861349569

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349569.001.0001

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Governing beyond markets and managerialism: professions as mediators1

Governing beyond markets and managerialism: professions as mediators1

(p.44) (p.45) Three Governing beyond markets and managerialism: professions as mediators1
Rethinking professional governance

Ellen Kuhlmann

Policy Press

This chapter discusses the transformability of professional groups as mediators between the state and its citizens, using Germany as a case study. It attempts to highlight the transformability of the ‘private interest government’ of professions and how it is targeted by institutional pathways of changing professional governance. It brings into view the linkage between policy and professionalism and a potential for modernising health systems. This approach moves beyond the controversies of marketisation/bureaucratic regulation, and the submergence/convergence of health systems and focuses instead on the role of the professions as ‘mediators’ between the state and its citizens.

Keywords:   Germany, professional governance, modernising health systems, professionalism, bureaucratic regulation

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