For society, state and self: juggling the logics of professionalism in GP appraisal

Entwistle, Tom ORCID: https://orcid.org/0000-0001-6457-4749 and Matthews, Elaine 2015. For society, state and self: juggling the logics of professionalism in GP appraisal. Sociology of Health and Illness 37 (8) , pp. 1142-1156. 10.1111/1467-9566.12287

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Abstract

Sociologists repeatedly appeal to notions of altruism, bureaucratisation and self interest in their efforts to explain the changing place of the professions in contemporary society. We treat these three readings as institutional logics that are key to understanding the way in which doctors respond to the appraisal system at the heart of the UK's approach to revalidation. Our analysis of a survey of 998 general practitioners (GPs) working in Wales finds an altruistic commitment to learning and improvement, bureaucratic demands for reporting information and self-regarding resentment of changes in the occupational package provided by general practice. But the data also demonstrate that the maintenance of the appraisal regime is dependent on the preparedness and capacity of individual GPs to do micro-level institutional work on all fronts.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Business (Including Economics)
Subjects:	H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine
Additional Information:	First published online 25 April 2015 PDF uploaded in accordance with publisher's policies at http://www.sherpa.ac.uk/romeo/issn/0141-9889/ (accessed 5.2.16).
Publisher:	Wiley
ISSN:	0141-9889
Date of First Compliant Deposit:	30 March 2016
Last Modified:	27 Nov 2024 02:45
URI:	https://orca.cardiff.ac.uk/id/eprint/72478

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