Risk, governance and the experience of care
Identifieur interne : 000116 ( Main/Merge ); précédent : 000115; suivant : 000117Risk, governance and the experience of care
Auteurs : Alexandra Hillman ; Win Tadd ; Sian Calnan ; Michael Calnan ; Antony Bayer ; Simon ReadSource :
- Sociology of Health & Illness [ 0141-9889 ] ; 2013.
Abstract
Drawing on perspectives from the governmentality literature and the sociology of risk, this article explores the strategies, tools and mechanisms for managing risk in acute hospital trusts in the United Kingdom. The article uses qualitative material from an ethnographic study of four acute hospital trusts undertaken between 2008 and 2010 focusing on the provision of dignified care for older people. Extracts from ethnographic material show how the organisational mechanisms that seek to manage risk shape the ways in which staff interact with and care for patients. The article bridges the gap between the sociological analysis of policy priorities, management strategy and the organisational cultures of the NHS, and the everyday interactions of care provision. In bringing together this ethnographic material with sociological debates on the regulation of healthcare, the article highlights the specific ways in which forms of governance shape how staff care for their patients challenging the possibility of providing dignified care for older people.
Url:
DOI: 10.1111/1467-9566.12017
PubMed: 23356787
PubMed Central: 3813989
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PMC:3813989Le document en format XML
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Research</institution><addr-line>University of Kent</addr-line></nlm:aff></affiliation></author><author><name sortKey="Calnan, Michael" sort="Calnan, Michael" uniqKey="Calnan M" first="Michael" last="Calnan">Michael Calnan</name><affiliation><nlm:aff id="au2"><institution>School of Social Policy, Sociology and Social Research</institution><addr-line>University of Kent</addr-line></nlm:aff></affiliation></author><author><name sortKey="Bayer, Antony" sort="Bayer, Antony" uniqKey="Bayer A" first="Antony" last="Bayer">Antony Bayer</name><affiliation><nlm:aff id="au3"><institution>School of Medicine</institution><addr-line>Cardiff University</addr-line></nlm:aff></affiliation></author><author><name sortKey="Read, Simon" sort="Read, Simon" uniqKey="Read S" first="Simon" last="Read">Simon Read</name><affiliation><nlm:aff id="au1"><institution>Cesagen, School of Social Sciences</institution><addr-line>Cardiff University</addr-line></nlm:aff></affiliation></author></analytic><series><title level="j">Sociology of Health & Illness</title><idno type="ISSN">0141-9889</idno><idno type="eISSN">1467-9566</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Drawing on perspectives from the governmentality literature and the sociology of risk, this article explores the strategies, tools and mechanisms for managing risk in acute hospital trusts in the United Kingdom. The article uses qualitative material from an ethnographic study of four acute hospital trusts undertaken between 2008 and 2010 focusing on the provision of dignified care for older people. Extracts from ethnographic material show how the organisational mechanisms that seek to manage risk shape the ways in which staff interact with and care for patients. The article bridges the gap between the sociological analysis of policy priorities, management strategy and the organisational cultures of the NHS, and the everyday interactions of care provision. 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