Vol 10 No 1 (2020)

Abstract

In the last decades, managerial instruments have gained importance to medical decisions and the logic of managerialism is juxtaposed with the logic of medical professionalism. Recent changes in the hospital employment structure raise the question of contradictory logics not only at the organizational but also at the individual level. Therefore, we investigate the rise of locum doctors which is a relatively new phenomenon in Germany. Our qualitative interview study with 21 locum tenens, permanently employed physicians, and chief physicians shows that locum physicians re-contextualize professional standards in hospitals. According to their self-perception, patient care stays at the center of their medical practice regardless of economic, bureaucratic, and hierarchical requirements as well as hospital-specific routines. We argue that the interrelationship between professionalism and managerialism exists not only within organizations but also on an individual level of locum doctors.

Władysław Tarnawski and the Critical Reactions of the National Democratic Party in Lviv to the Changes of the March Constitution (1926–1935)

“…The debates in late autumn and winter of 1933 were particularly heated, the more so as it had turned out that even within the ruling party there was a serious split, which made it difficult to force the legislation through. 19 It was said jokingly in August 1934 that the Sanation was taking its time to prepare the constitution, as the decisive factor had decided to linger. That was the hidden criticism of the fact that nothing could happen in Poland without Marshal Piłsudski's decision.…”