Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/19565
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Beyond professional boundaries: relationships and resources in health services' modernisation in England and Wales
Authors: Huby, Guro
Harris, Fiona Margaret
Powell, Alison
Kielmann, Tara
Sheikh, Aziz
Williams, Sian
Pinnock, Hilary
Contact Email: fiona.harris@stir.ac.uk
Keywords: Social capital
health service change
professional boundaries
Issue Date: Mar-2014
Publisher: Wiley-Blackwell for Foundation for the Sociology of Health and Illness
Citation: Huby G, Harris FM, Powell A, Kielmann T, Sheikh A, Williams S & Pinnock H (2014) Beyond professional boundaries: relationships and resources in health services' modernisation in England and Wales, Sociology of Health and Illness, 36 (3), pp. 400-415.
Abstract: This article draws on theories of social capital to understand ways in which the negotiation of professional boundaries among healthcare professionals relates to health services change. We compared reconfiguration of respiratory services in four primary care organisations (PCOs) in England and Wales. Service development was observed over 18 months during a period of market-based reforms. Serial interviews with key clinicians and managers from hospital trusts and PCOs followed progress as they collaborated around, negotiated and contested developments. We found that professionals work to protect and expand their claims to work territory. Remuneration and influence was a catalyst for development and was also necessary to establish professional boundaries that underpinned novel service arrangements. Conflict and contest was less of a threat to change than a lack of engagement in boundary work because this engagement produced relationships based on forming shifting professional allegiances across and along boundaries, and these relationships mediated the social capital needed to accomplish change. However, this process also (re)produced inequalities among professions and prevented some groups from participation in service change.
Type: Journal Article
URI: http://hdl.handle.net/1893/19565
DOI Link: http://dx.doi.org/10.1111/1467-9566.12067
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Edinburgh
NMAHP Research
University of St Andrews
University of Edinburgh
University of Edinburgh
Healthcare Consultant
University of Edinburgh

Files in This Item:
File Description SizeFormat 
Huby harris et al shil12067.pdf116.11 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.