Bureaucratization and medical professionals’ values: A cross-national analysis

Understanding the impact of the bureaucratization of governance systems on the occupational values of medical professionals is a fundamental concern of the sociological research of healthcare professions. While previous studies have examined the impact of bureaucratized management, organizations, an...

Full description

Saved in:
Bibliographic Details
Published in:Social science & medicine (1982) 2017-05, Vol.180, p.76-84
Main Author: Racko, Girts
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Autonomy
Bureaucracy
Bureaucratization
Clinical Governance - trends
Common good
Creativity
Cross cultural studies
Cross-Sectional Studies
Economic impact
Europe
Governance
Health care industry
Health Personnel - psychology
Health services
Humans
International comparisons
Management
Medical personnel
Medical professionalism
Medicine
Multivariate Analysis
Openness
Professions
Public governance
Regression Analysis
Selftranscendence
Social Justice - psychology
Social Values
Sociological research
Surveys and Questionnaires
Transcendence
Values
Work values
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Understanding the impact of the bureaucratization of governance systems on the occupational values of medical professionals is a fundamental concern of the sociological research of healthcare professions. While previous studies have examined the impact of bureaucratized management, organizations, and healthcare fields on medical professionals’ values, there is a lack of cross-national research on the normative impact of the bureaucratized systems of national governance. Using the European Social Survey data for 29 countries, this study examines the impact of the bureaucratization of national governance systems on the occupational values of medical professionals. The findings indicate that medical professionals who are employed in countries with the more bureaucratized systems of national governance are less concerned with openness to change values, that emphasize autonomy and creativity, and self-transcendence values, that emphasize common good. The findings also indicate that the negative effect of the bureaucratization of national governance on the openness to change values is stronger for medical professionals in more bureaucratized organizations with more rationalized administration systems. •National governance bureaucratization weakens medics' openness to change values.•National governance bureaucratization weakens medics' self-transcendence values.•Organizational bureaucratization influences medics' openness to change values.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2017.03.027