Health Care Quality Improvement and the Ambiguous Commodity of Care.
Quality of care has become a major concern of the U.S.'s health care system in recent decades thanks to an energetic social movement and, more recently, interest from health insurers. Ethnographic research at a primary care clinic engaged in an array of quality improvement efforts revealed that phys...
| Publicado en: | Medical Anthropology Quarterly Vol. 34; no. 3; pp. 361 - 378 |
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| Formato: | journal article |
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Wiley-Blackwell
Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=145731788&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 145731788 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 07455194 GFS jtl: Medical Anthropology Quarterly issn: 07455194 maglogo: Y pubinfo: dt: Sep2020 vid: 34 iid: 3 pid: 480 pub: Wiley-Blackwell artinfo: ui: 145731788 10.1111/maq.12608 ppf: 361 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P size: 190KB tig: atl: Health Care Quality Improvement and the Ambiguous Commodity of Care. aug: au: Manelin, Ethan Balgley affil: Department of Anthropology, Harvard University su: Medical quality control Occupational roles Division of labor Medical care Commercial products sug: subj: Medical quality control Occupational roles Division of labor Medical care Commodity Contracts Dealing Commodity Contracts Brokerage Commercial products keyword: caregiving commodities Health care quality caregiving commodities Health care quality ab: Quality of care has become a major concern of the U.S.'s health care system in recent decades thanks to an energetic social movement and, more recently, interest from health insurers. Ethnographic research at a primary care clinic engaged in an array of quality improvement efforts revealed that physicians navigate two incommensurable views of quality: one aligned with the metric-oriented quality movement, and the other based on a humanistic vision of their professional role. Against the backdrop of a financialized health care system, these two views represent "differentiated ties" with respect to health care as a commodity. Furthermore, they are used to justify a broad division of labor where support staff and clinic leaders relieve physicians of responsibility for managing, implementing, and reporting quality efforts. These differentiated ties reveal the fundamental ambiguity of health care as a commodity, the resolution of which is a central-albeit implicit-motive of the quality movement. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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