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Professional relations in sport healthcare: workplace responses to organisational change

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journal contribution
posted on 24.07.2014 by Dominic Malcolm, Andrea Scott
This article examines the impact of organisational changes in UK elite sport on the professional relations among and between different healthcare providers. The article describes the processes by which demand for elite sport healthcare has increased in the UK. It further charts the subsequent response within medicine and physiotherapy and, in particular, the institutionalisation of sport-specific sub-disciplines through the introduction of specialist qualifications. Drawing on semi-structured interviews with 14 doctors and 14 physiotherapists, the article argues that organisational changes have led to intra-professional tensions within both professional groups but in qualitatively different forms reflecting the organisational traditions and professional identities of the respective disciplines. Organisational changes promoting multi-disciplinary healthcare teams have also fostered an environment conducive to high levels of inter-professional cooperation though significant elements of inter-professional conflict remain. This study illustrates how intra-professional relations are affected by specialisation, how legitimation discourses are used by different professions, and how intra- and inter-professional conflict and cooperation should be seen as highly interdependent processes.

History

School

  • Sport, Exercise and Health Sciences

Published in

SOCIAL SCIENCE & MEDICINE

Volume

72

Issue

4

Pages

513 - 520 (8)

Citation

MALCOLM, D. and SCOTT, A., 2011. Professional relations in sport healthcare: workplace responses to organisational change. Social Science and Medicine, 72 (4), pp. 513 - 520.

Publisher

© Elsevier Ltd.

Version

AM (Accepted Manuscript)

Publication date

2011

Notes

This article was published in the journal, Social Science and Medicine [© Elsevier Ltd.] and the definitive version is available at: http://dx.doi.org/10.1016/j.socscimed.2010.11.016

ISSN

0277-9536

Language

en

Exports