Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
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| Format: | Artículo científico |
| Language: | en |
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Fundação Getulio Vargas
2021
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| _version_ | 1866570991647326208 |
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| author | Erik Persson |
| author_facet | Erik Persson |
| contents | Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals Erik Persson Ewan Ferlie Juan Baeza Administración y Contabilidad hybridisation medical profession Professional stratification federal university hospitals This paper explores drivers, implications, and trends of professional stratification and hybridisation in the medical profession employed in Brazilian substituir por: federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions of the migration of university hospitals to EBSERH, a public company established by the federal government to manage and organise HUFs integrated into the Unified Health System (SUS). Our research shows that transferring hospital administration to EBSERH has led to further internal stratification of the medical workforce. The shift from the logic of medical-academic professionalism to the new logic of business-like healthcare, with the adoption of distinct job contracts and more managerial logics of work and control, may well be changing subjective and formal links established between professionals, universities, and hospitals. We identify and discuss trends towards hybridisation and dehybridisation. These findings are relevant because this shift can have profound implications for the academic nature of HUFs and for the future of professionalism within these health and teaching organisations. 2021 artículo científico 0034-7612 https://www.redalyc.org/articulo.oa?id=241069406002 https://www.redalyc.org/journal/2410/241069406002/ https://www.redalyc.org/journal/2410/241069406002/html/ https://www.redalyc.org/journal/2410/241069406002/241069406002.epub https://www.redalyc.org/journal/2410/241069406002/movil 10.1590/0034-761220200792 en http://www.redalyc.org/revista.oa?id=2410 Revista de Administração Pública - RAP application/pdf Fundação Getulio Vargas Revista de Administração Pública - RAP (Brasil) Num.5 Vol.55 |
| format | Artículo científico |
| id | redalyc_241069406002 |
| language | en |
| publishDate | 2021 |
| publisher | Fundação Getulio Vargas |
| spellingShingle | Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals Erik Persson Administración y Contabilidad hybridisation medical profession Professional stratification federal university hospitals Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals Erik Persson Ewan Ferlie Juan Baeza Administración y Contabilidad hybridisation medical profession Professional stratification federal university hospitals This paper explores drivers, implications, and trends of professional stratification and hybridisation in the medical profession employed in Brazilian substituir por: federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions of the migration of university hospitals to EBSERH, a public company established by the federal government to manage and organise HUFs integrated into the Unified Health System (SUS). Our research shows that transferring hospital administration to EBSERH has led to further internal stratification of the medical workforce. The shift from the logic of medical-academic professionalism to the new logic of business-like healthcare, with the adoption of distinct job contracts and more managerial logics of work and control, may well be changing subjective and formal links established between professionals, universities, and hospitals. We identify and discuss trends towards hybridisation and dehybridisation. These findings are relevant because this shift can have profound implications for the academic nature of HUFs and for the future of professionalism within these health and teaching organisations. 2021 artículo científico 0034-7612 https://www.redalyc.org/articulo.oa?id=241069406002 https://www.redalyc.org/journal/2410/241069406002/ https://www.redalyc.org/journal/2410/241069406002/html/ https://www.redalyc.org/journal/2410/241069406002/241069406002.epub https://www.redalyc.org/journal/2410/241069406002/movil 10.1590/0034-761220200792 en http://www.redalyc.org/revista.oa?id=2410 Revista de Administração Pública - RAP application/pdf Fundação Getulio Vargas Revista de Administração Pública - RAP (Brasil) Num.5 Vol.55 |
| title | Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals |
| topic | Administración y Contabilidad hybridisation medical profession Professional stratification federal university hospitals |
| url | https://www.redalyc.org/articulo.oa?id=241069406002 https://www.redalyc.org/journal/2410/241069406002/ https://www.redalyc.org/journal/2410/241069406002/html/ https://www.redalyc.org/journal/2410/241069406002/241069406002.epub https://www.redalyc.org/journal/2410/241069406002/movil |