MODERNISING HEALTH CARE Reinventing professions, the state and the public pdf

[...]... governance in health care It relates back to the reinvention of professions, the state and the public The focus is on three dimensions of change, namely the rise of a new professionalism; the released tensions and dynamics in the triangle of professions, the state and the public; and the potential, as well as the obstacles, of corporatism and professional self-regulation for modernisation The options and limitations... Each side needs the other, and intersections and tensions of interest are therefore inevitably embedded in the triangle comprising health professions, the state and the public New patterns of governance and new demands on health care challenge the health professions, but in various ways that are not fully under control of governments Professionalism has the capacity to remake itself and ensure professional... citizens, they had to provide and expand the markets for professionalised work From the perspective of the public, these services offered by the professions beCAMe a gauge for the success of the aims of welfare states to translate the concept of social citizenship into the practice of social services From the perspective of the professions, the growing significance of knowledge and state regulation and the. .. social inclusion and participation, are discussed with respect to changing welfare state arrangements and social policy From this, I conclude by exploring some demands on the future theorising of professions, the state and the public and research into health care and health policy 14 ONE Towards ‘citizen professionals’: contextualising professions and the state This chapter stakes out the field for a... institutional regulation and brings into view the intersections and tensions within the triangle professions, the state and the public 9 Modernising health care Knowledge, information and freedom of choice – the symbolic forces of modernity – ‘govern’ societies in highly flexible ways, link different actors and interests, build trust in the functioning of societies and reduce social conflict In these circumstances,.. .Modernising health care care mirrors ‘new directions in social policy’ (Clarke, 2004) and a move away from hierarchical institutional regulation towards more flexible and hybrid patterns of governing ‘peoples and the public sphere’ (Newman, 2005a) At the same time, health care politics are more than a subset of welfare politics and the health care state is more than a subsystem of the welfare state ... resources, and to legitimise these decisions in the light of social equality and citizenship rights, professions and professionalism are needed, perhaps more than ever Following these argumentations, professions are the ‘cornerstones’ of welfare states and service societies; and subsequently, with the shifts in the arrangements of welfare states (Hall and Soskice, 2001), and new demands on health care, the. .. changes in health care systems as part of modernisation processes .The concept of citizenship provides the framework to link the issues of regulation and welfare state policy to the study of professions and professionalism Linking citizenship and professions brings the state back into the study of professions, and in turn, professions into social policy and health care research This new perspective on the. .. enable change, and to better understand the barriers towards integration and policies introduced from the top down Towards context-sensitive approaches: professions, the state and the public as a dynamic triangle New forms of provider organisation, new actors – like the service users and the various health professions – and new regulatory patterns generate numerous shifts in the health care systems For... independence and public control, secondly, between the interests and social rights of participation of the various groups of actors in health care, and thirdly, between the individual responsibility 5 Modernising health care of the user and that of the welfare state towards its citizens With respect to health policy this approach towards professions helps both to bring a broader spectrum of drivers and players . triangle comprising health professions, the state and the public. New patterns of governance and new demands on health care challenge the health professions,. regulation and brings into view the intersections and tensions within the triangle professions, the state and the public . Introduction 10 Modernising health care Knowledge,