| Negotiating Authority: A Comparative Study of Reform in Medical Training Regimes. | |
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MedLine Citation:
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PMID: 22323238 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Recently the medical profession has faced increase outside pressure to reform postgraduate medical training programs to better equip young doctors for changing health care needs and public expectations. In this article we explore the impact of reform on professional self-governance by conducting a comparative historical-institutional analysis of postgraduate medical training reform in the United Kingdom and the Netherlands. In both countries the medical training regime has shifted from professional self-regulation to coregulation. Yet there are notable differences in each country that cannot be explained solely by diverging institutional contexts. They also result from the strategic actions by the actors involved. Based on an assessment of the recent literature on institutional transformation, this article shows how strategic actions set negotiating authority processes into motion, producing new and sometimes surprising institutional arrangements that can have profound effects on the distribution and allocation of authority in the medical training regime. It stresses the need to study the interactions among political context, the properties of institutions, and negotiating authority processes, as they are crucially important to understanding institutional transformation. |
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Authors:
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Iris Wallenburg; Jan-Kees Helderman; Antoinette de Bont; Fedde Scheele; Pauline Meurs |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-2-9 |
Journal Detail:
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Title: Journal of health politics, policy and law Volume: - ISSN: 1527-1927 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-2-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7609331 Medline TA: J Health Polit Policy Law Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1 Erasmus University Rotterdam. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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