TY  - JOUR
T1  - Dialogues and dialectics:
T2  - limits to clinician-manager interaction in healthcare organizations
A1  - MacIntosh,R.
A1  - Beech,N.
A1  - Martin,G.
AU  - MacIntosh,R.
AU  - Beech,N.
AU  - Martin,G.
PY  - 2012
Y1  - 2012
N2  - This paper examines clinicianemanager interactions within healthcare organizations in the UK and contrasts the notions of dialetics and dialogues within such interactions. We draw particularly on Bakhtin’s work on dialogue to frame our focal research question, which considers the extent to which clinicianemanager interactions are dialogic. Using data drawn from a thirty-two month study of five UK healthcare organizations we suggest that clinician-manager interactions are more dialectic than dialogic in their orientation. Further, we suggest that, despite the appearance of dialogical possibility between clinicians and non-clinicians, the tendency to dialectic positioning reinforces opposition between these groups and we conclude that local, rather than system-wide interventions, offer the best means of disrupting these dialectics and fostering productive dialogue
AB  - This paper examines clinicianemanager interactions within healthcare organizations in the UK and contrasts the notions of dialetics and dialogues within such interactions. We draw particularly on Bakhtin’s work on dialogue to frame our focal research question, which considers the extent to which clinicianemanager interactions are dialogic. Using data drawn from a thirty-two month study of five UK healthcare organizations we suggest that clinician-manager interactions are more dialectic than dialogic in their orientation. Further, we suggest that, despite the appearance of dialogical possibility between clinicians and non-clinicians, the tendency to dialectic positioning reinforces opposition between these groups and we conclude that local, rather than system-wide interventions, offer the best means of disrupting these dialectics and fostering productive dialogue
UR  - http://eprints.gla.ac.uk/50430/
U2  - 10.1016/j.socscimed.2011.03.014
DO  - 10.1016/j.socscimed.2011.03.014
M1  - Article
JO  - Social Science and Medicine
JF  - Social Science and Medicine
SN  - 0277-9536
VL  - 74
SP  - 332
EP  - 339
ER  -