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For society, state and self: juggling the logics of professionalism in general practice appraisal
Author(s) -
Entwistle Tom,
Matthews Elaine
Publication year - 2015
Publication title -
sociology of health and illness
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 97
eISSN - 1467-9566
pISSN - 0141-9889
DOI - 10.1111/1467-9566.12287
Subject(s) - state (computer science) , sociology , psychology , epistemology , engineering ethics , pedagogy , philosophy , computer science , engineering , algorithm
Abstract Sociologists repeatedly appeal to notions of altruism, bureaucratisation and self interest in their efforts to explain the changing place of the professions in contemporary society. We treat these three readings as institutional logics that are key to understanding the way in which doctors respond to the appraisal system at the heart of the UK 's approach to revalidation. Our analysis of a survey of 998 general practitioners ( GP s) working in Wales finds an altruistic commitment to learning and improvement, bureaucratic demands for reporting information and self‐regarding resentment of changes in the occupational package provided by general practice. But the data also demonstrate that the maintenance of the appraisal regime is dependent on the preparedness and capacity of individual GP s to do micro‐level institutional work on all fronts.