Managing Doctors and Saving a Hospital: Irony, Rhetoric and Actor Networks
通过一家面临关闭威胁的医院案例,分析英国医疗服务中医生与管理者关系的变化,探讨修辞、反讽和行动者网络理论如何解释医院关闭威胁及其对专业-管理关系的影响。
This article examines the changing configuration of professional-management relations within the English health service, focusing on hospital doctors and managers. It draws on a case study of a hospital apparently under threat of closure during a period when management is pursuing a policy of attempting to rationalize medical work, for example, by expanding day surgery. At the same time, the strategies of medical staff for the defence of their professional interests are also explored. The usefulness of rhetoric, irony and actor-network theory for the analysis of the threatened hospital closure and the implications for professional-managerial relations is explored within the broader context of `governmentality' (Foucault).