Identity, Contract and Enterprise in a Primary Care Setting: An English General Practice Case Study
研究英国全科诊所医生和护士如何回应新合同中以经济奖励鼓励达标的要求，发现他们并非被动顺从，而是主动参与进取行为，同时管理传统身份中的矛盾。
This paper examines the responses of primary health care clinicians (doctors and nurses) to an invitation to enterprise contained in a new contract which offers financial rewards for meeting targets. We suggest that far from being swept along by a hegemonic enterprise discourse or having `no choice but to comply' (Cohen and Musson, 2000: 45), the engagement of our study participants in enterprising behaviours can be understood in terms of a more active process, albeit one characterized by new bureaucratic forms. Rather than riding roughshod over cherished traditional identities, part of the attraction of enterprise in our case study can be understood in terms of its role in assisting enterprising clinicians in managing the tensions inherent in these identities.