University of Groningen
Through the physician’s lens. A micro-level perspective on the structural adaptation of professional work
Gifford, Rachel
DOI:
10.33612/diss.172180526
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Publication date: 2021
Link to publication in University of Groningen/UMCG research database
Citation for published version (APA):
Gifford, R. (2021). Through the physician’s lens. A micro-level perspective on the structural adaptation of professional work. University of Groningen, SOM research school. https://doi.org/10.33612/diss.172180526
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1.How medical professionals perceive, interpret, and frame
proposed adaptations to their work has important implications for organizational dynamics (Ch. 2, 3, 4).
2.How professionals respond to external pressures depends largely upon whether they interpret pressures as a threat to core professional values (Ch. 2, 3)
3.When discussing healthcare reform we must consider the incentives that exist at all levels (e.g. professionals, professional groups, organizations) in order to move towards real change (Ch. 3, 4)
4.It is essential to disentangle employment status and payment type when considering the design and impact of reform of the
employment status of medical specialists. (Ch 3)
5.Care chain integration relies on overcoming not only structural barriers, but also on overcoming interpersonal and cultural boundaries (Ch 4).
6.Strong boundaries may exist even between members of the same profession, and these boundaries can have important consequences for care delivery processes such as patient flow and speed. (Ch. 4). 7.The decisions made by politicians, insurance companies, and medical professionals all concern matters of life and death, yet medical professionals (and their patients) are the ones directly confronted with the outcome of their decisions.
8.As U.S. politics has shown us, a 4-year contract can produce great, or disastrous, things.
