IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v72y2011i4p513-520.html
   My bibliography  Save this article

Professional relations in sport healthcare: Workplace responses to organisational change

Author

Listed:
  • Malcolm, Dominic
  • Scott, Andrea

Abstract

This article examines the impact of organisational changes in UK elite sport on the professional relations among and between different healthcare providers. The article describes the processes by which demand for elite sport healthcare has increased in the UK. It further charts the subsequent response within medicine and physiotherapy and, in particular, the institutionalisation of sport-specific sub-disciplines through the introduction of specialist qualifications. Drawing on semi-structured interviews with 14 doctors and 14 physiotherapists, the article argues that organisational changes have led to intra-professional tensions within both professional groups but in qualitatively different forms reflecting the organisational traditions and professional identities of the respective disciplines. Organisational changes promoting multi-disciplinary healthcare teams have also fostered an environment conducive to high levels of inter-professional cooperation though significant elements of inter-professional conflict remain. This study illustrates how intra-professional relations are affected by specialisation, how legitimation discourses are used by different professions, and how intra- and inter-professional conflict and cooperation should be seen as highly interdependent processes.

Suggested Citation

  • Malcolm, Dominic & Scott, Andrea, 2011. "Professional relations in sport healthcare: Workplace responses to organisational change," Social Science & Medicine, Elsevier, vol. 72(4), pages 513-520, February.
    • Handle: RePEc:eee:socmed:v:72:y:2011:i:4:p:513-520
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00800-2
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Nicholls, David A. & Cheek, Julianne, 2006. "Physiotherapy and the shadow of prostitution: The Society of Trained Masseuses and the massage scandals of 1894," Social Science & Medicine, Elsevier, vol. 62(9), pages 2336-2348, May.
    2. Martin, Graham P. & Currie, Graeme & Finn, Rachael, 2009. "Reconfiguring or reproducing intra-professional boundaries? Specialist expertise, generalist knowledge and the 'modernization' of the medical workforce," Social Science & Medicine, Elsevier, vol. 68(7), pages 1191-1198, April.
    3. Thornquist, Eline, 1994. "Profession and life: Separate worlds," Social Science & Medicine, Elsevier, vol. 39(5), pages 701-713, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Isabel Rodríguez-Costa & Ma Dolores González-Rivera & Catherine Ortega & Joana-Marina Llabrés-Mateu & María Blanco-Morales & Vanesa Abuín-Porras & Belén Díaz-Pulido, 2020. "Professional and Personal Physical Therapist Development through Service Learning in Collaboration with a Prisoner Reinsertion Program: A Qualitative Study," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    2. Adams, Tracey L. & Wannamaker, Kaitlin, 2022. "Professional regulation, profession-state relations and the pandemic response: Australia, Canada, and the UK compared," Social Science & Medicine, Elsevier, vol. 296(C).
    3. Boateng, Godfred O. & Adams, Tracey L., 2016. "“Drop dead … I need your job”: An exploratory study of intra-professional conflict amongst nurses in two Ontario cities," Social Science & Medicine, Elsevier, vol. 155(C), pages 35-42.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Currie, Graeme & El Enany, Nellie & Lockett, Andy, 2014. "Intra-professional dynamics in translational health research: The perspective of social scientists," Social Science & Medicine, Elsevier, vol. 114(C), pages 81-88.
    2. Evans, Sarah & Scarbrough, Harry, 2014. "Supporting knowledge translation through collaborative translational research initiatives: ‘Bridging’ versus ‘blurring’ boundary-spanning approaches in the UK CLAHRC initiative," Social Science & Medicine, Elsevier, vol. 106(C), pages 119-127.
    3. Powell, Alison E. & Davies, Huw T.O., 2012. "The struggle to improve patient care in the face of professional boundaries," Social Science & Medicine, Elsevier, vol. 75(5), pages 807-814.
    4. Wright, Sarah & Porteous, Mary & Stirling, Diane & Young, Oliver & Gourley, Charlie & Hallowell, Nina, 2019. "Negotiating jurisdictional boundaries in response to new genetic possibilities in breast cancer care: The creation of an ‘oncogenetic taskscape’," Social Science & Medicine, Elsevier, vol. 225(C), pages 26-33.
    5. Sumati Ahuja, 2023. "Professional Identity Threats in Interprofessional Collaborations: A Case of Architects in Professional Service Firms," Journal of Management Studies, Wiley Blackwell, vol. 60(2), pages 428-453, March.
    6. Liberati, Elisa Giulia & Gorli, Mara & Scaratti, Giuseppe, 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care," Social Science & Medicine, Elsevier, vol. 150(C), pages 31-39.
    7. McDougall, A. & Goldszmidt, M. & Kinsella, E.A. & Smith, S. & Lingard, L., 2016. "Collaboration and entanglement: An actor-network theory analysis of team-based intraprofessional care for patients with advanced heart failure," Social Science & Medicine, Elsevier, vol. 164(C), pages 108-117.
    8. Josephson, Iréne & Woodward-Kron, Robyn & Delany, Clare & Hiller, Amy, 2015. "Evaluative language in physiotherapy practice: How does it contribute to the therapeutic relationship?," Social Science & Medicine, Elsevier, vol. 143(C), pages 128-136.
    9. Miner, Skye A., 2019. "Demarcating the dirty work: Canadian Fertility professionals’ use of boundary-work in contentious egg donation," Social Science & Medicine, Elsevier, vol. 221(C), pages 19-26.
    10. Brosnan, Caragh, 2017. "Alternative futures: Fields, boundaries, and divergent professionalisation strategies within the Chiropractic profession," Social Science & Medicine, Elsevier, vol. 190(C), pages 83-91.
    11. Xyrichis, Andreas & Lowton, Karen & Rafferty, Anne Marie, 2017. "Accomplishing professional jurisdiction in intensive care: An ethnographic study of three units," Social Science & Medicine, Elsevier, vol. 181(C), pages 102-111.
    12. Lockett, Andy & Currie, Graeme & Waring, Justin & Finn, Rachael & Martin, Graham, 2012. "The role of institutional entrepreneurs in reforming healthcare," Social Science & Medicine, Elsevier, vol. 74(3), pages 356-363.
    13. Tyskbo, Daniel & Sergeeva, Anastasia, 2022. "Brains exposed: How new imaging technology reconfigures expertise coordination in neurosurgery," Social Science & Medicine, Elsevier, vol. 292(C).
    14. Nigam, Amit, 2012. "The effects of institutional change on geographic variation and health services use in the USA," Social Science & Medicine, Elsevier, vol. 74(3), pages 323-331.
    15. Waring, Justin J. & Bishop, Simon, 2010. "Lean healthcare: Rhetoric, ritual and resistance," Social Science & Medicine, Elsevier, vol. 71(7), pages 1332-1340, October.
    16. Finn, Rachael & Learmonth, Mark & Reedy, Patrick, 2010. "Some unintended effects of teamwork in healthcare," Social Science & Medicine, Elsevier, vol. 70(8), pages 1148-1154, April.
    17. Nugus, Peter & Greenfield, David & Travaglia, Joanne & Westbrook, Johanna & Braithwaite, Jeffrey, 2010. "How and where clinicians exercise power: Interprofessional relations in health care," Social Science & Medicine, Elsevier, vol. 71(5), pages 898-909, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:72:y:2011:i:4:p:513-520. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.