Comparing national patterns of medical specialization: a contribution to the theory of professions

Döhler, Marian

doi:10.1177/053901893032002002

Cited by 18 publications

(8 citation statements)

References 23 publications

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“…First, joining a team means better collaboration among physicians, which is important for modern medicine. Healthcare is now a team effort because modern medicine is becoming more and more complicated [24]. A single physician cannot solve all problems, especially complex problems.…”

Section: The Research Model and Hypothesis Developmentmentioning

confidence: 99%

The Impact of Joining a Team on the Initial Trust in Online Physicians

Bao

Liu

et al. 2020

Healthcare

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Introduction: Trust is a major challenge for the online market and this is especially the case for e-consultation platforms. Research that promotes online physician trust is highly desirable. In this study, we focus on whether joining a team led by a well-known physician will increase physician trust and what team characteristics will affect this trust. Materials and Methods: Brand extension theory is applied to the healthcare context to explain the impact of joining a team on physician trust. Specifically, both team strength and team similarity are hypothesized to have the main effects. In addition, team size is hypothesized to have a moderating effect. A 2 × 2 × 2 experiment was conducted to test the proposed research model. Results: The results indicated that joining a team would significantly increase physician trust (p < 0.001). Both team strength (p < 0.001) and team similarity (p < 0.001) had positive impacts on physician trust. In addition, a larger team size resulted in a reduced positive effect of team strength on physician trust (p < 0.001). Conclusions: Joining a physician team is an effective and low-cost method to address the initial trust problem of unknown online physicians.

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Section: The Research Model and Hypothesis Developmentmentioning

confidence: 99%

The Impact of Joining a Team on the Initial Trust in Online Physicians

Bao

Liu

et al. 2020

Healthcare

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“…Second, occupational specialization proceeds from intraprofessional boundary settlements concerning jurisdiction of service and the organization of working environments in limited (i.e., local) settings (Strauss et al, 1963;Bucher and Stelling, 1969;Abbott, 1988: 81, 106;Halpern, 1988Halpern, , 1992Döhler, 1993). Thus, it is of sociological interest to uncover material factors which shape individual and organizational interests in relation to, on the one hand, specialization of tasks, personnel, and roles, and, on the other, coordination of differentiated structures and functions.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Professionalization theory, medical specialists and the concept of “national patterns of specialization”

Leeming¹

2001

Social Science Information

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Abstract:Studies comparing particular medical specialties in different national settings have not appeared in the sociology of the professions literature. Consequently, little is known about how local contexts actually affect the professionalization process and medical specialization. Are certain determinants of specialization active in some countries and not in others? Can some determinants be said to be always active? Two recent independent studies of medical geneticists in, respectively, the UK and Canada present a unique opportunity to reflect on earlier social-theoretical discussions concerning the determinants of medical specialization in the context of country-specific organizational frameworks. Placed side-by-side, the two studies lend support to earlier research that emphasize, first, conceptual and technological innovations in medicine as driving specialty formation, and, second, the dominant position of physicians in the resulting division of medical labour. Beyond this, however, each study throws highlight on local influences as being important with respect to particular courses of action or inaction at the national and regional level. In the end, what appear to be coherent sets of diagnostic and counselling services from a unitary, global perspective can also be viewed as loose networks of resource dependencies, personnel, and organizations which can be re-configured within local health care delivery systems.

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“…A somewhat greater degree of standardization is reached in the field of professionally oriented studies through the accreditation of medical and law school programmes by the major professional associations (the American Bar Association, the American Medical Association). Moreover, at least in medical training, this is also a precondition for admission to the nationally administered certification examination (Dohler 1993a;. For law students, on the other hand, admission to the legal profession continues to depend on bar exams administered by the bar associations of individual states.…”

Section: Max-planck-institut Für Gesellschaftsforschung Cologne Germanymentioning

confidence: 99%

Community and autonomy: Multi‐level policy‐making in the European Union

Scharpf

1994

Journal of European Public Policy

221

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The completion of the internal market reduces the capacity of member states to shape the collective fate of their citizens through their own policies, while the policy-making capacity of the European Community cannot be increased sufficiently to compensate for the loss of state control at the national level. If European economic integration nevertheless depends on policy co-ordination, there is a need for co-ordination techniques which impose minimal constraints on the autonomous problem-solving capacities of member states. These depend, in turn, on the willingness of member states to pursue their own policy goals in ways which impose minimal constraints on free movement within the European market. © Routledge 1350-1763

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Comparing national patterns of medical specialization: a contribution to the theory of professions

Cited by 18 publications

References 23 publications

The Impact of Joining a Team on the Initial Trust in Online Physicians

The Impact of Joining a Team on the Initial Trust in Online Physicians

Professionalization theory, medical specialists and the concept of “national patterns of specialization”

Community and autonomy: Multi‐level policy‐making in the European Union

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