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Governing healthcare: the uses and limits of governmentality in the National Health Service in England. | LitMetric

AI Article Synopsis

  • - This paper examines contemporary healthcare governance in England's National Health Service by highlighting how decisions often occur in obscure or inaccessible spaces and involve medical professionals in the governance process.
  • - It emphasizes the significance of seemingly mundane tools like PowerPoint slides and flow charts in shaping governance, suggesting that these "boring things" play a crucial role in understanding political power dynamics.
  • - The essay argues that an anthropological approach can reveal the complexities and limitations of governance, illustrating how various elements, including global experts and medical leaders, interact through strategic framing, which can be challenged and resisted.

Article Abstract

Using examples from the National Health Service in England, this paper illustrates key features of contemporary healthcare governance: the way decisions are hidden in places that are 'in between' and 'out of reach'; the enrolment of doctors in governing; and the important role played by 'boring things', such as power point slides, flow charts, and forms. The essay shows how anthropological proximity and perspectives can extend and deepen understanding of contemporary political power. It does this firstly by showing the importance of agency in the operation of governmentality, and secondly by illuminating the limits of governmentality. The different elements of governing assemblages, such as global management experts, medical leaders, forms of knowledge and analytical technologies, are brought together through the strategic act of framing. Frames are contested and resisted, requiring more visible forms of control.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458124PMC
http://dx.doi.org/10.1080/13648470.2023.2242280DOI Listing

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