Arbeiten im Krankenhaus: der Umgang von Beschäftigten mit der Ökonomisierung

As a result of reforms in the German system of inpatient health care, in particular through the implementation of diagnosis-related groups there has been an economization of the system. The consequences have affected the employees and their working conditions. Moreover, economization has led to a potential conflict between economic and job-specific logic of action. Since its beginning, some time has passed and the changes that have taken place have become normality in health care. This paper focuses on the question of how employees in the hospitals deal with their working conditions and different action impulses, more than a decade after the reforms. Based on qualitative interview data, three practices among physicians and nurses can be reconstructed: the balancing between advantages and disadvantages, the interest in an economically stable environment and the utilisation of internal and external resources by the employees.