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Economic Rationalities and Notions of 'Good Cure and Care'
Susan Thieme1, Marina Richter2, Carole Ammann3,4
1Department of Geography, University of Bern, Bern, Switzerland.
Medical Anthropology
|March 10, 2022
Summary
Healthcare professionals in Swiss hospitals navigate economic pressures and bureaucracy. Their commitment to "good cure and care" persists, blending with market-driven demands like financial and time pressures, and staff shortages.
Area of Science:
- Healthcare Management
- Medical Sociology
- Health Services Research
Background:
- Swiss healthcare system evolution influenced by economic rationalization, bureaucratization, and digitalization.
- Tension between professional ideals of 'good cure and care' and market-driven governance.
Purpose of the Study:
- Analyze the manifestation of market-driven governance in the daily activities of nurses and physicians in a Swiss acute hospital.
- Investigate the interplay between professional care ethics and economic rationalities.
Main Methods:
- Qualitative data analysis from a Swiss acute hospital setting.
- Ethnographic observation and interviews with healthcare professionals.
Main Results:
- Professional notions of 'good cure and care' remain significant.
- Economic rationalities intertwine with professional practices.
- Manifestations include financial pressure, increased bureaucratization, time constraints, and staff shortages.
Conclusions:
- Swiss healthcare professionals integrate market-driven logics into their practice while upholding core professional values.
- The study highlights the complex negotiation between economic pressures and quality patient care.
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