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      Significados de la profesión médica desde la ideología de las y los profesionales de la medicina Translated title: Meanings of the medical profession from the ideology of medical professionals

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          Abstract

          RESUMEN Se aborda la ideología de las y los profesionales de la medicina, desde la teoría de Thompson, para entender los significados de la profesión médica, a partir de las categorías: autonomía, normas y valores, y reconocimiento social. Se realizaron 24 entrevistas semiestructuradas a profesionales de la medicina en cuatro ámbitos de trabajo: institucional público, institucional privado, ejercicio privado y ejercicio mixto, en Amecameca, municipio del Estado de México, en el período comprendido de marzo a octubre de 2019. El análisis de los significados expresados por las y los profesionales de la medicina en cada una de las categorías de interés muestra una base condicionada por la estructura del control estatal y por la economía mercantilizada, que valora con mayor significación formas de práctica médica privada. En la conformación ideológica de la profesión médica subsiste un componente práctico inmerso en un romanticismo liberal en un escenario casi extinto que subsiste en la actualidad, sin articularlo a los procesos sociales más generales.

          Translated abstract

          ABSTRACT This article deals with the ideology of medical professionals in order to understand the meanings attributed to their profession, taking Thompson’s theory as a starting point and centering on the categories of autonomy, norms and values, and social recognition. Twenty-four semi-structured interviews were conducted with medical professionals in Amecameca, a municipality in the State of Mexico, from March to October 2019, in four sectors of service provision: public institutional, private institutional, private practice, and mixed practice. The analysis of meanings expressed by medical professionals with respect to each category of interest reveals that medical professionals are conditioned by the structure of state control and by the commodified economy, where private forms of medical practice are more highly regarded. In the ideological conformation of the medical profession, there remains a practical component imbued with a liberal romanticism in an extinct scenario that still exists today, without being articulated to more general social processes.

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          The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields

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            The impact of management on medical professionalism: a review.

            In the last three decades, medical doctors have increasingly been exposed to management control measures. This phenomenon has been reflected in a number of studies in various disciplines, including sociology, organisation studies, management, and health service research. This article seeks to provide a comprehensive overview of the studies dealing with the impact of management on professional control. In particular, it seeks to bridge the diversity of assumptions, theoretical perspectives and conceptual underpinnings at play, by exploring synergies between them and opening up new horizons for research. The review shows how the relationship between clinicians and management has been analysed at an organisational level using two interconnected analytical frameworks focusing on the sociocultural and task-related dimensions of professionalism. In the final discussion, we argue that comparative, longitudinal and cross-sectional research is necessary, and there is a need to overcome the hegemony/resistance framework in current analyses of the impact of management on professionalism. Such an approach would contribute to the revision of macro theories of professionalism and stimulate emerging research by examining different perspectives towards management in medical specialisations. This approach might also stimulate a discussion of medical professionals' relationships with members of other professional groups, including nurses and healthcare managers. © 2011 The Authors. Sociology of Health & Illness © 2011 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.
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              Rationalization and the Deprofessionalization of Physicians

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                Author and article information

                Journal
                sc
                Salud colectiva
                Salud colect.
                Universidad Nacional de Lanús (Lanús, Buenos Aires, Argentina )
                1669-2381
                1851-8265
                2020
                : 16
                : e2798
                Affiliations
                [1] Toluca orgnameUniversidad Autónoma del Estado de México Mexico aledefra2013@ 123456gmail.com
                [3] Toluca orgnameUniversidad Autónoma del Estado de México Mexico capo730211@ 123456yahoo.es
                [2] Ciudad de México orgnameUniversidad Autónoma Metropolitana-Xochimilco México jsec632213@ 123456correo.xoc.uam.mx
                Article
                S1851-82652020000100437 S1851-8265(20)01600000437
                10.18294/sc.2020.2798
                c7bb5b17-d43b-4032-87c1-f15d3ac25cea

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 27 July 2020
                : 16 April 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 47, Pages: 0
                Product

                SciELO Public Health

                Categories
                Artículos

                Instituciones de Salud,Professional Practice Location,Physicians,Autonomía Profesional,Médicos,Professional Practice,Ubicación de la Práctica Profesional,Professional Autonomy,Práctica Profesional,México,Health Facilities,Mexico

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