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Professions and the Pursuit of Transparency in Healthcare: Two Cases of Soft Autonomy

Publiceringsår: 2009
Språk: Engelska
Sidor: 509-527
Publikation/Tidskrift/Serie: Organization Studies
Volym: 30
Nummer: 5
Dokumenttyp: Artikel i tidskrift
Förlag: SAGE Publications Inc.


Contemporary professions are increasingly challenged to open up to scrutiny from the outside. Earlier research is focused on two main types of responses and consequences: colonization by a managerial logic of self-monitoring and decoupling of auditing and professional practice. his paper describes a different type of response which implies that professionals get actively involved in monitoring their own activities, without losing their professional autonomy. Two cases from Swedish healthcare were investigated: accreditation at a hospital laboratory and the national quality registries. In both cases, professional involvement took the form of translation and negotiation in expert networks, restrained by a certain resistance towards external monitoring, but driven by an interest in legitimizing and developing professional work. he resulting situation is characterized as a 'soft autonomy' which combines professional internalization of originally non-professional auditing ideas with maintained professional control over evaluation criteria.


  • Business Administration
  • audit society
  • professions
  • soft autonomy
  • soft
  • bureaucracy
  • transparency
  • healthcare services
  • soft regulation


  • ISSN: 1741-3044

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