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Time, space and touch at work: body work and labour process (re)organisation
1Department of Sociology, University of Surrey, Guildford. r.cohen@surrey.ac.uk
Sociology of Health & Illness
|February 9, 2011
Summary
Reorganizing health and social care is challenging because
Area of Science:
- Sociology of Work
- Health Services Management
- Labour Process Studies
Background:
- Health and social care services face pressure for 'efficiency savings' through reorganization.
- Labour rationalization is a key strategy in achieving these savings.
- The nature of 'body work' presents unique challenges to these efforts.
Purpose of the Study:
- To examine the difficulties in reorganizing work involving bodies.
- To analyze how 'body work' constrains rationalization and reorganization in health and social care.
- To explore the implications of efficiency-driven reorganization for workers and patients.
Main Methods:
- Analysis of the concept of 'body work' as a material of production.
- Examination of constraints on labor process rationalization within body work.
- Review of attempts to reorganize health and social care for cost savings.
Main Results:
- 'Body work' limits rationalization due to fixed worker-to-body ratios, reducing potential labor cuts.
- Co-presence and unpredictable demand for body work decrease spatial and temporal flexibility.
- The complex, unitary, and responsive nature of bodies hinders standardization and reorganization.
- Attempts at reorganization for efficiency create problems for both workers and patients.
Conclusions:
- Reorganizing health and social care for efficiency is inherently difficult due to the nature of 'body work'.
- Standardization and rationalization efforts in this sector face fundamental limitations.
- Efficiency-driven reorganization can negatively impact healthcare workers and patients.
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