Hybrid regulation: the rise of networks and managerialism

Ellen Kuhlmann

in Modernising health care

Published by Policy Press

Published in print September 2006 | ISBN: 9781861348586
Published online March 2012 | e-ISBN: 9781447302810 | DOI:
Hybrid regulation: the rise of networks and managerialism

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This chapter outlines how the medical profession takes up the regulatory incentives of managerialism and networking and how this relates to changes in the corporatist arrangements and the occupational structure. One central finding is that physicians promote the coexistence of new forms of flexible regulation and classical patterns of self-regulation. Furthermore, the rise of a network culture is currently limited to physicians. It does not significantly impact on the organisational structure of ambulatory care and the work arrangements of physicians. In the long run, however, it may impact on the division of labour and the ‘institutional environments’ in health care as network members expressed more positive attitudes on cooperation with the allied health occupations. Similarly, female physicians' attitudes to patient rights and user participation are more positive than those of male physicians. Consequently, the continuous increase of women in the profession may promote accountability.

Keywords: medical profession; managerialism; networking; flexible regulation; ambulatory care; patient rights

Chapter.  9390 words. 

Subjects: Public Health and Epidemiology

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