Book contents
- Frontmatter
- Contents
- List of tables and figures
- Acknowledgements
- Abbreviations
- Glossary
- Introduction
- one Towards ‘citizen professionals’: contextualising professions and the state
- Part I Mapping change in comparative perspective
- Part II Dynamics of new governance in the German health system
- Part III The rise of a new professionalism in late modernity
- References
- Appendix: Research design of the empirical in-depth study
- Index
- Also available from The Policy Press
Part III - The rise of a new professionalism in late modernity
Published online by Cambridge University Press: 15 January 2022
- Frontmatter
- Contents
- List of tables and figures
- Acknowledgements
- Abbreviations
- Glossary
- Introduction
- one Towards ‘citizen professionals’: contextualising professions and the state
- Part I Mapping change in comparative perspective
- Part II Dynamics of new governance in the German health system
- Part III The rise of a new professionalism in late modernity
- References
- Appendix: Research design of the empirical in-depth study
- Index
- Also available from The Policy Press
Summary
The third part of this book investigates cultural order patterns as the connection links between professions, the state and the public (research design step IV; see Figure i.1). Two key categories of professionalism serve to explore the mediating role of professions and reflexivity of change: namely, trust and knowledge. Both categories are cornerstones of professional power and also of the functioning of societies, which undergo significant change. The empirical findings presented in the previous chapters are linked to an international debate on the governance of health care and changing modes of citizenship. Results highlight that ‘information’, ‘freedom of choice’ and ‘autonomy’ – the promises of modernity – are embedded in new models of governance and medical practice. The developments enhance complex shifts in the balance of power in health care that move beyond the impact of marketisation and bureaucratic regulation and the discourse on consumerism. The tensions between elements from new governance and conservative forces of medical dominance give rise to new and more diverse patterns of professionalism in late modernity. These new patterns open windows of opportunity for the improved participation of citizens and accountability of professions without, however, radically reducing the power of the medical profession to shape and reshape these processes of change.
- Type
- Chapter
- Information
- Modernising Health CareReinventing Professions, the State and the Public, pp. 179 - 180Publisher: Bristol University PressPrint publication year: 2006