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Titre du document / Document title

Dynamic professional boundaries in the healthcare workforce = Frontières professionnelles dynamiques au sein de la force de travail dans le domaine de la santé

Auteur(s) / Author(s)

NANCARROW Susan A. (1) ; BORTHWICK Alan M. (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Institute of General Practice and Primary care, University of Sheffield, ROYAUME-UNI
(2) School of Health Professions and Rehabilitation Sciences, University of Southampton, ROYAUME-UNI

Résumé / Abstract

The healthcare professions have never been static in terms of their own disciplinary boundaries, nor in their role or status in society. Healthcare provision has been defined by changing societal expectations and beliefs, new ways of perceiving health and illness, the introduction of a range of technologies and, more recently, the formal recognition of particular groups through the introduction of education and regulation. It has also been shaped by both interprofessional and profession-state relationships forged over time. A number of factors have converged that place new pressures on workforce boundaries, including an unmet demand for some healthcare services; neo-liberal management philosophies and a greater emphasis on consumer preferences than professional-led services. To date, however, there has been little analysis of the evolution of the workforce as a whole. The discussion of workforce change that has taken place has largely been from the perspective of individual disciplines. Yet the dynamic boundaries of each discipline mean that there is an interrelationship between the components of the workforce that cannot be ignored. The purpose of this paper is to describe four directions in which the existing workforce can change: diversification; specialisation and vertical and horizontal substitution, and to discuss the implications of these changes for the workforce.

Revue / Journal Title

Sociology of health & illness    ISSN  0141-9889 

Source / Source

2005, vol. 27, no7, pp. 897-919 [23 page(s) (article)] (4 p.1/2)

Langue / Language


Editeur / Publisher

Blackwell, Oxford, ROYAUME-UNI  (1979) (Revue)

Mots-clés anglais / English Keywords





Labor Force


Mots-clés français / French Keywords









Force de travail


Mots-clés d'auteur / Author Keywords

workforce flexibility






horizontal and vertical substitution


Localisation / Location

INIST-CNRS, Cote INIST : 22266, 35400013526174.0020

Nº notice refdoc (ud4) : 17302164

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