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
IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.
Document Version
Publisher's PDF, also known as Version of record
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
Copyright
Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).
Take-down policy
If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum.
1
Through the physician’s lens
A micro-level perspective on the structural adaptation of
professional work
By
2
Publisher: University of Groningen
Groningen, the Netherlands
Printer: Ipskamp Printing
Enschede, The Netherlands
@ 2021 R.E. Gifford
All rights reserved. All rights reserved. No part of this publication may be reproduced, stored
in a retrieval system of any nature, or transmitted in any form or by any means, electronic, mechanical, now known or hereafter invented, including photocopying or recording, without written permission of the publisher.
3
Through the physician’s lens
A micro-level perspective on the structural adaptation of professional work
PhD thesis
To obtain the degree of PhD at the University of Groningen on the authority of Rector Magnificus Prof. C. Wijmenga and in accordance with the decision by the College of
Deans.
This thesis will be defended in public on
Thursday the 8th of July, 2021 at 12.45 hrs
By
Rachel Emily Gifford Born on 7 September 1987 In Newport, Rhode Island, USA
4
Supervisors
Prof. J.T. van der Vaart Prof. H.B.M Molleman
Assessment Committee
Prof. M. Broekhuis Prof. R. A. Bal Prof. M. Lewis.
5
TABLE OF CONTENTS
Chapter 1. Introduction 6
Chapter 2. Waking sleeping bears: responding to disruption 21 in a settled field
Chapter 3. Two sides to every coin: assessing the effects of
moving physicians to employment contracts 73 Chapter 4. Working together in emergency care? Examining
the micro-dynamics of professional supply chain
integration 100
Chapter 5. General discussion 136
References 159
English Summary 171
Dutch summary 180
