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Integrated Healthcare System01:20

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Against Hierarchy: Organizing Horizontally in Healthcare.

Ryan Essex1,2

  • 1The George Institute for Global Health, Sydney, Australia.

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Summary
This summary is machine-generated.

Hierarchy and authority are pervasive in healthcare, influencing patient care and workplace dynamics. This study argues that flattening hierarchies and increasing autonomy improve health outcomes, challenging the inevitability of current structures.

Keywords:
anarchismauthorityhealthcarehierarchynursing

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Area of Science:

  • Social Sciences
  • Health Policy
  • Organizational Studies

Background:

  • Authority and hierarchy are deeply embedded in social structures, including healthcare settings.
  • These hierarchical arrangements influence interactions, decision-making, and perceived possibilities within healthcare.
  • Existing power structures in healthcare are often accepted as natural or inevitable.

Purpose of the Study:

  • To critically examine the operation and impact of authority and hierarchy in everyday healthcare practices.
  • To challenge the perceived inevitability of hierarchical structures in healthcare.
  • To explore alternative, less hierarchical models for healthcare organization.

Main Methods:

  • Analysis of how hierarchy functions in daily healthcare interactions.
  • Review of anarchist scholarship critiquing authority and hierarchy.
  • Examination of literature on the negative health impacts of hierarchical organizations.
  • Case studies of horizontally organized healthcare settings.

Main Results:

  • Hierarchical structures in healthcare dictate communication, roles, and power dynamics.
  • Hierarchical organization is linked to detrimental effects on both workplaces and broader health outcomes.
  • Increased individual control and a meaningful voice in decision-making correlate with improved well-being.

Conclusions:

  • Hierarchy in healthcare is not an inevitable or desirable structure.
  • Flattening hierarchies and empowering individuals leads to better health and workplace environments.
  • Alternative, horizontal models of healthcare organization are feasible and beneficial.