Health Professions and the State in Europe

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More About This Textbook


Many professions today are in a state of transition, with changes being imposed on them by governments and other agencies. Focusing on this theme of change Health Professions and the State in Europe explains and illuminates the specific relationship between health professions and the state. The editors and contributors, all experts in the field, present an overview of the current situation in eight different countries in Europe, covering such topical issues as the impact on the health professions of market policies, performance and quality measures, and challenges to professional monopolies and expertise. With its international and comparative perspective, the book enhances our understanding of the interplay between health professions and the state in different national contexts.

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Product Details

  • ISBN-13: 9780415106313
  • Publisher: Taylor & Francis
  • Publication date: 12/21/1994
  • Pages: 256
  • Product dimensions: 6.14 (w) x 9.21 (h) x 0.52 (d)

Table of Contents

Notes on contributors
Introduction 1
1 Governmentality and the institutionalization of expertise 7
2 Countervailing powers: a framework for professions in transition 25
3 State control and the health professions in the United Kingdom: historical perspectives 45
4 Restructuring health and welfare professions in the United Kingdom: the impact of internal markets on the medical, nursing and social work professions 55
5 Shifting spheres of opportunity: the professional powers of general practitioners within the British National Health Service 75
6 Doctors, peer review and quality assurance 86
7 The changing response of the medical profession to alternative medicine in Britain: a case of altruism or self-interest? 103
8 The British General Medical Council: from Empire to Europe 116
9 The politics of the Spanish medical profession: democratization and the construction of the national health system 141
10 The Belgian medical profession since the 1980s: dominance and decline? 162
11 Midwifery in the Netherlands: more than a semi-profession? 178
12 State traditions and medical professionalization in Scandinavia 187
13 The medical profession in the Nordic countries: medical uncertainty and gender-based work 200
14 Post-communist reform and the health professions: medicine and nursing in the Czech Republic 213
Author index 228
Subject index 233
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