Emerging from the shadow of medicine: allied health as a 'profession community' subculture

Boyce, Rosalie A. (2006) Emerging from the shadow of medicine: allied health as a 'profession community' subculture. Health Sociology Review, 15 (5). pp. 520-534. ISSN 1446-1242

Abstract

The authority relationship between medicine and the allied health professions has been conceptualised as one of subordination. The research that underpinned the subordination thesis was largely based on pre-1980 studies of interprofessional interaction and struggle. This article presents data from a comparative longitudinal case study analysis of Australian allied health professions employed in three distinct organisational models in urban acute care general hospitals during the 1990s. The article discusses the emergence of a distinct allied health 'profession community' subculture associated with the emergence of new organisational structures in Australia. A model to account for subculture development under different organisational conditions is proposed. A key concern is the way in which a 'profession community' is created, structured and maintained in the complex organisational settings of the acute care hospital. The findings challenge the notion that subordination is an inevitable consequence of medical dominance and calls for a re-formulation of our understanding of the relationship between medicine and allied health professions in light of contemporary health service reforms.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: See also http://www.atypon-link.com/EMP/doi/abs/10.5172/hesr.2006.15.5.520
Depositing User: Assoc Prof Rosalie Boyce
Faculty / Department / School: Historic - Faculty of Sciences - Department of Biological and Physical Sciences
Date Deposited: 14 Feb 2011 12:02
Last Modified: 03 Jul 2013 00:29
Uncontrolled Keywords: sociology of professions; allied health professions; medical dominance; subculture; hospital structure; organisational restructuring
Fields of Research (FOR2008): 11 Medical and Health Sciences > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified
17 Psychology and Cognitive Sciences > 1701 Psychology > 170107 Industrial and Organisational Psychology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111709 Health Care Administration
Socio-Economic Objective (SEO2008): C Society > 92 Health > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services)
Identification Number or DOI: doi: 10.5172/hesr.2006.15.5.520
URI: http://eprints.usq.edu.au/id/eprint/18342

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