Policy Press

Rethinking professional governance

International directions in healthcare

Edited by Ellen Kuhlmann and Mike Saks


Apr 9, 2008

Page count

256 pages




240 x 172 mm


Policy Press
Rethinking professional governance

This original and innovative book opens up new perspectives in health policy debate, examining the emerging international trends in the governance of health professions and the significance of national contexts for the changing health workforce.

In bringing together research from a wide range of continental European countries as well as the United Kingdom, Canada and Australia, the contributors highlight different arenas of governance, as well as the various players involved in the policy process. They expand the public debate on professional governance - hitherto mainly limited to medical self-regulation - to encompass a broad span of health care providers, from nurses and midwives to alternative therapists and health support workers.

The book provides new data and geopolitical perspectives in the debate over how to govern health care. It helps to better understand both the enabling conditions for, and the barriers to, making professionals more accountable to the interests of a changing public.

This book will be a valuable resource for students at an undergraduate and postgraduate level, particularly for health programmes, sociology of professions and comparative health policy, but also for academics, researchers and managers working in health care. 

"With a fresh approach to developments in the international context, Rethinking Professional Governance injects new energy into important debates. It will be of great interest to researchers, policy makers and health professionals." Dr Ellen Annandale, Department of Sociology, University of Leicester, and Editor-in-Chief of Social Science and Medicine

Ellen Kuhlmann is Senior Lecturer in the Department of Social and Policy Sciences, University of Bath.

Mike Saks is Pro Vice Chancellor and Professor of Health and Community Studies at the University of Lincoln.

Introduction: Changing patterns of health professional governance ~ Ellen Kuhlmann and Mike Saks; Part One: New directions in the governance of healthcare: Protecting patients: international trends in medical governance ~ Judith Allsop and Kathryn Jones; Global markets and national pathways of medical re-regulation ~ Viola Burau and Karsten Vrangbæk; Governing beyond markets and managerialism: professions as mediators ~ Ellen Kuhlmann; Trust relations and changing professional governance: theoretical challenges ~ Michael Calnan and Rosemary Rowe; Professionalism meets entrepreneurialism and managerialism ~ Rosalie A.Boyce; Part Two: Drivers and barriers to integration: health policies and professional development: Collaborative care and professional boundaries: maternity care in Canada ~ Ivy Lynn Bourgeault and Elizabeth Darling; Interprofessional relationships: nurses and doctors in Slovenia ~ Majda Pahor; Educating generalists: auxiliary nursing and professional identity in Finland ~ Sirpa Wrede; Culture matters: integration of folk medicine into healthcare in Russia ~ Elena Iarskaia-Smirnova and Pavel Romanov; Policy dynamics: marginal groups in the healthcare division of labour in the UK ~ Mike Saks; Part Three: Workforce dynamics: gender, migration and mobility: Free riders in a fluid system: gender traps in the nursing profession in Norway ~ Rannveig Dahle and Gry Skogheim; From health to tourism: being mobile in the wellness sector in Hungary ~ Katalin Formadi; Migration and occupational integration: foreign health professionals in Portugal ~ Joana Sousa Ribeiro; Professionals in transition: physicians' careers, migration and gender in Lithuania ~ Elianne Riska and Aurelija Novelskaite; Conclusion: Health policy and workforce dynamics: the future ~ Ellen Kuhlmann and Mike Saks.