Professions and the Pursuit of Transparency in Healthcare: Two Cases of Soft Autonomy
(2009) In Organization Studies 30(5). p.509-527- Abstract
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1424752
- author
- Levay, Charlotta LU and Waks, Caroline
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- audit society, professions, soft autonomy, soft, bureaucracy, transparency, healthcare services, soft regulation
- in
- Organization Studies
- volume
- 30
- issue
- 5
- pages
- 509 - 527
- publisher
- SAGE Publications
- external identifiers
-
- wos:000266362800003
- scopus:65949095221
- ISSN
- 1741-3044
- DOI
- 10.1177/0170840609104396
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: The Vårdal Institute (016540000), Department of Business Administration (012003000)
- id
- d7023b65-2e4b-4652-89c2-5fb55bfc5a63 (old id 1424752)
- date added to LUP
- 2016-04-01 12:19:06
- date last changed
- 2022-04-21 05:48:10
@article{d7023b65-2e4b-4652-89c2-5fb55bfc5a63,
abstract = {{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.}},
author = {{Levay, Charlotta and Waks, Caroline}},
issn = {{1741-3044}},
keywords = {{audit society; professions; soft autonomy; soft; bureaucracy; transparency; healthcare services; soft regulation}},
language = {{eng}},
number = {{5}},
pages = {{509--527}},
publisher = {{SAGE Publications}},
series = {{Organization Studies}},
title = {{Professions and the Pursuit of Transparency in Healthcare: Two Cases of Soft Autonomy}},
url = {{http://dx.doi.org/10.1177/0170840609104396}},
doi = {{10.1177/0170840609104396}},
volume = {{30}},
year = {{2009}},
}