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Title: Professionalism redundant, reshaped, or reinvigorated? Realizing the ‘third logic’ in contemporary healthcare
Authors: Martin, Graham P.
Armstrong, Natalie
Aveling, Emma-Louise
Herbert, Georgia
Dixon-Woods, Mary
First Published: 14-Aug-2015
Publisher: American Sociological Association, SAGE Publications
Citation: Journal of Health and Social Behavior
Abstract: Recent decades have seen the influence of the professions decline. Lately, commentators have suggested a revived role for a ‘new’ professionalism in ensuring and enhancing high-quality healthcare in systems dominated by market and managerial logics. The form this new professionalism might take, however, remains obscure. This article uses data from an ethnographic study of three English healthcare-improvement projects to analyze the place, potential, and limitations of professionalism as a means of engaging clinicians in efforts to improve service quality. We found that appeals to notions of professionalism had strong support among practitioners, but converting enthusiasm for the principle of professionalism into motivation to change practice was not straightforward. Some tactics used in pursuit of this deviated sharply from traditional models of collegial social control. In systems characterized by fissures between professional groups and powerful market and managerial influences, we suggest that professionalism must interact creatively but carefully with other logics.
DOI Link: 10.1177/0022146515596353
ISSN: 0022-1465
eISSN: 2150-6000
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Archived with reference to publisher website This is an author-produced, peer-reviewed article that has been accepted for publication in Journal of Health and Social Behavior but has not been copyedited. The publisher-authenticated version will be available at
Appears in Collections:Published Articles, Dept. of Health Sciences

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