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Correia, T. (2014). The divisionalized professional bureaucracy model in hospital organizations: Challenging the role of professionalism and managerialism. In XVIII World Congress of Sociology, Book of Abstracts. Yokohama: ISA.

T. J. Conceição,  "The divisionalized professional bureaucracy model in hospital organizations: Challenging the role of professionalism and managerialism", in XVIII World Congr. of Sociology, Book of Abstracts, Yokohama, ISA, 2014

@inproceedings{conceição2014_1714866148902,
	author = "Correia, T.",
	title = "The divisionalized professional bureaucracy model in hospital organizations: Challenging the role of professionalism and managerialism",
	booktitle = "XVIII World Congress of Sociology, Book of Abstracts",
	year = "2014",
	editor = "",
	volume = "",
	number = "",
	series = "",
	publisher = "ISA",
	address = "Yokohama",
	organization = "ISA",
	url = "https://www.isa-sociology.org/uploads/files/isa-wcs2014-book-of-abstracts.pdf"
}

TY  - CPAPER
TI  - The divisionalized professional bureaucracy model in hospital organizations: Challenging the role of professionalism and managerialism
T2  - XVIII World Congress of Sociology, Book of Abstracts
AU  - Correia, T.
PY  - 2014
CY  - Yokohama
UR  - https://www.isa-sociology.org/uploads/files/isa-wcs2014-book-of-abstracts.pdf
AB  - Following up on previous reflections (Correia, 2012), this presentation seeks
now to provide the debate with a more systematized reading of the adaptation
of hospital organizations in the context of globalized managerialism, notably the
implication for its design and functioning while a professional bureaucracy and
for the interplay between managerialism and professionalism.
The presentation reports to a qualitative research whose fieldwork was conducted in a general public hospital during the process it adopted a corporatized
model now dominant in Portugal. Direct observations were systematically made
over a year and half from 2008 to 2010, followed by 26 in-depth, semi-structured
interviews with all managers on the hospital’s board of directors, doctors from
internal medicine and from surgery.
Evidence shows a new, unpredicted organizational structure in Mintzberg’s theory – the divisionalized professional bureaucracy – that combines professionalism
and balkanization as prime coordinating mechanisms. Divisionalized professional structures are created within hospitals standing medicine and management
closely together. Implications are discussed in the light of two fields of debate.
One is health professions, as professionalism seems to be reinforced through the
control of both managerial and self-regulated clinical tools. The other is management studies, as it is significant to find professionalism and balkanization coupled
though they are conceived as barely articulable in theory. Therefore, the reflection allows to illustrate empirically how these organizations successful adapt by
following processes assumed not only as impossible but also as responsible for
disintegrating large bureaucracies.
ER  -