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Outsourced Health Care Services: Experiences and Positions of Medical Staff

Tiina Tiilikka
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Tiina Tiilikka: University of Tampere, Finland

International Journal of Public and Private Healthcare Management and Economics (IJPPHME), 2011, vol. 1, issue 2, 26-39

Abstract: This paper provides answers to the question of how medical doctors and nurses at health centres narrate their experiences of outsourced health care services and make sense of their position in the new organization. The article contributes to the debate on the recent change in the marketization and transformation of health care organizations. The research material consists of seven group interviews with medical doctors and nurses. The method makes use of viewpoints from the narrative approach. The results of the analysis indicate that the workers interviewed are primarily rational professional actors. They do not actively take an emotional position. The short contracts between public or private actors mean that work processes in the outsourced health care organizations are intermittent. It may be necessary for the workers to adopt a strong professional identity without strong mental ties to the employer.

Date: 2011
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