通过弹性和价值话语管理专业人士:安大略省药剂师的新合法化

T. Mickleborough, L. Muzzin, M. A. Martimianakis
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引用次数: 0

摘要

在一个新自由主义的转变中,安大略省政府削减了超过7.5亿美元的资金,这些资金传统上是由药房通过配药获得的。这些资金被一个国家资助的项目取代,该项目将报销药剂师提供的与病人护理相关的专业服务。安大略省药房倡导机构的专业精英面临的问题是,如何管理一个自我监管的行业的成员,将主体性(身份)从传统的药物分发者转变为为利润提供病人护理。我们解决了文献中的一个空白,并提出了一个问题,即由专业精英管理的专职医疗专业人员如何成为负责任的主体,他们将采用国家/专业议程?利用福柯式的治理框架,我们的研究结果表明,精英通过两种技术对普通民众进行治理:弹性和价值,使与市场和医疗保健可持续性相关的新的“合法”药剂师主体性成为可能。
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Governing Professionals Through Discourses of Resilience and Value: A New Legitimation for Ontario Pharmacists
In a neoliberal turn, the government of Ontario cut more than $750 million in funds that were traditionally received by pharmacies through dispensing medication. These funds were replaced with a state-funded program that would reimburse pharmacists for professional services related to patient care. The problem facing professional elites from Ontario pharmacy’s advocacy body was how to govern members of a self-regulating profession to switch subjectivities (identities) from the traditional dispenser of medication to providing patient care for profit. We address a gap in the literature and pose the question, how are the rank and file of allied healthcare professions governed by professional elites to become responsibilized subjects who will adopt state/profession agendas? Using a Foucauldian governmentality framework, our findings reveal that the rank and file are governed by elites through two technologies: resilience and value making possible a new “legitimate” pharmacist subjectivity related to the market and health care sustainability.
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来源期刊
Professions and Professionalism
Professions and Professionalism Social Sciences-Education
CiteScore
1.60
自引率
0.00%
发文量
14
期刊介绍: Professions and Professionalism (P&P) is an open-access, net-based, peer-reviewed and English-language journal. The Journal invites research-based empirical, theoretical or synoptic articles focusing on traditional professions as well as other knowledge-based occupational groups approached from any perspective or discipline. By prioritizing no single theoretical horizon or methodological approach, the journal creates a space for the development of the research field. Aims: To develop the study of professions and professionalism theoretically and empirically, To contribute to the development of the study of professions and professionalism as an international interdisciplinary field of research, To become an important publication channel for the international research community.
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