Professions and the Pursuit of Transparency in Healthcare: Two Cases of Soft Autonomy
Author
Summary, in English
Contemporary professions are increasingly challenged to open up to scrutiny from the outside. Earlier research is focused on two main types of responses and consequences: colonization by a managerial logic of self-monitoring and decoupling of auditing and professional practice. his paper describes a different type of response which implies that professionals get actively involved in monitoring their own activities, without losing their professional autonomy. Two cases from Swedish healthcare were investigated: accreditation at a hospital laboratory and the national quality registries. In both cases, professional involvement took the form of translation and negotiation in expert networks, restrained by a certain resistance towards external monitoring, but driven by an interest in legitimizing and developing professional work. he resulting situation is characterized as a 'soft autonomy' which combines professional internalization of originally non-professional auditing ideas with maintained professional control over evaluation criteria.
Publishing year
2009
Language
English
Pages
509-527
Publication/Series
Organization Studies
Volume
30
Issue
5
Document type
Journal article
Publisher
SAGE Publications
Topic
- Business Administration
Keywords
- audit society
- professions
- soft autonomy
- soft
- bureaucracy
- transparency
- healthcare services
- soft regulation
Status
Published
ISBN/ISSN/Other
- ISSN: 1741-3044