Abstract
This chapter brings together the key themes outlined in preceding chapters into a clear concluding summary of the current state of the field in relation to the sociological study of medical regulation. In doing so, this chapter highlights the urgent need for sociologists to establish a programme of longitudinal research to track over the coming decade the impact of current reforms in medical regulation on both doctors and patients. It is argued that only by doing this will it be possible to more fully develop the restratification thesis outlined in previous chapters. The chapter also argues for the need to bear in mind broader ongoing changes in the nature of governance more generally, as the risk-saturated social conditions associated with high modernity continue to unfold around us. Here, the chapter discusses the need for sociologists to be aware of the inherent limitations of neo-liberal forms of governmentality and the types of subjectivity and models of good citizenship they promote. The chapter ends by inviting the reader to establish their own research agenda in light of the material and ideas discussed throughout this book.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Barry, A., Osborne, T., & Rose, N. (1996). Foucault and political reason. London: University College London Press.
Beck, U., & Beck-Gernsheim, E. (2002). Individualization: Institutionalized individualism and its social and political consequences. London: Sage Publications.
Berlin, I. (1969). Two concepts of liberty. In I. Berlin (2002) Four essays on liberty (pp. 14–35). Oxford: Oxford University Press.
Black, D. (2002). Consultant appraisal GMC news supplement on appraisal and revalidation 1–4. London: The GMC.
Bruce, D. A. (2007). Regulation of doctors. British Medical Journal, 334, 436–437.
Burchell, G. (1993). Liberal government and techniques of the self. Economy and Society, 22(3), 267–282.
Burchell, G. (1996). Liberal government and techniques of the self. In A. Barry, T. Osborne, & N. Rose (Eds.), Foucault and political reason (pp. 133–167). London: University College London Press.
Checkland, K., McDonald, R., & Harrison, S. (2007). Ticking boxes and changing the social world: Data collection and the new UK general practice contract. Social Policy and Administration, 41(7), 693–710.
Coburn, D., & Willis, E. (2000). The medical profession: Knowledge, power and autonomy. In G. L. Albrecht, R. Fitzpatrick, & S. C. Scrimshaw (Eds.), The handbook of social science and medicine (pp. 257–277). London: Sage Publications.
Davis, M. H., Friedman, B. D., Harden, R. M., Howie, P., Ker, C., McGhee, M. J., Pipard, M. J., & Snadden, D. (2001). Portfolio assessment in medical students’ final examinations. Medical Teacher, 23(4), 231–250.
Dean, M. (1999). Governmentality: Power and rule in modern society. London: Sage Publications.
Deleuze, G. (1988). Foucault. Minneapolis: University of Minnesota Press.
du Guy, P. (1996). Consumption and identity at work. London: Sage Publications.
Elliott, P. (2001). Concepts of the self. Cambridge: Polity Press.
Fletcher, C. (1997). Appraisal: Routes to improved performance. London: Short Run Press.
Foucault, M. (1979). Discipline and punish: The birth of the prison. London: Allen Lane.
Foucault, M. (1991). Governmentality. In G. Burchell, C. Gordon, & P. Miller (Eds.), The Foucault effect: Studies in governmentality (pp. 11–27). London: Harvester Wheatsheaf.
Freidson, E. (2001). Professionalism: The third logic. Cambridge: Polity Press.
Gordon, C. (1996). Foucault in Britain. In A. Barry, T. Osborne, & N. Rose (Eds.), Foucault and political reason (pp. 167–184). London: University College London Press.
Irvine, D. (2003). The doctors tale: Professionalism and the public trust. London: Radcliffe Medical Press.
Larson, M. S. (1977). The rise of professionalism: A sociological analysis. California: University of California Press.
Lloyd-Bostock, S., & Hutter, B. (2008). Reforming regulation of the medical profession: The risks of risk based approaches. Health, Risk and Society, 10(1), 69–83.
Lupton, D. (2011). Medicine as culture (3rd ed.). London: Sage Publications.
McDonald, R., Harrison, S., & Checkland, K. (2008). Incentives and control in primary health care: Findings from English pay-for-performance case studies. Journal of Health, Organisation and Management, 22(1), 48–62.
Mythen, G. (2004). Ulrich beck: A critical introduction to the risk society. London: Pluto.
Nettleton, S. (2006). The sociology of health and illness. London: Polity Press.
Newton, T., & Findlay, P. (1996). Playing god? The performance of appraisal. Human Resource Management, 6(3), 42–58.
Osborne, T. (1993). On Liberalism, neo-liberalism and the liberal profession of medicine. Economy and Society, 22(3), 345–56.
Peters, M. (2001). Poststructuralist, Marxism and neo-liberalism: Between theory and practice. Lanham: Rowman and Littlefield.
Peterson, A. (1997). Risk, governance and the new public health. In A. Peterson & R. Bunton (Eds.), Foucault health and medicine (pp. 3–21). London: Routledge.
Power, M. (1997). The audit society. Oxford: Oxford University Press.
Rose, N. (1992). Governing the enterprise self. In P. Heelas & P. Morris (Eds.), The values of the enterprise culture (pp. 46–65). London: Routledge.
Rose, N. (1993). Government, authority and expertise in advanced liberalism. Economy and Society, 22(3), 283–299.
Rose, N. (1996). Governing advanced liberal democracies. In A. Barry, T. Osborne, & N. Rose (Eds.), Foucault and political reason (pp. 102–123). London: University College London Press.
Rose, N. (1999). Powers of freedom: Reframing political thought. Cambridge: Cambridge University Press.
Rose, N., & Miller, P. (1992). Political power beyond the state: Problematics of government. The British Journal of Sociology, 43(2), 173–205.
Sheaff, R., Rogers, A., Pickard, S., Marshall, M., Campbell, S., Sibbald, B., Halliwell, S., & Roland, M. (2003). A subtle governance: ‘Soft’ medical leadership in English primary care. Sociology of Health & Illness, 25(5), 408–428.
Snadden, D., & Thomas, M. (1998). The use of portfolio learning in medical education. Medical Teacher, 20(3), 244–265.
Townley, B. (1993a). Foucault, power/knowledge, and its relevance for human resource management. Academy of Management Review, 18(3), 518–545.
Townley, B. (1993b). Performance appraisal and the emergence of human resource management. Journal of Management Studies, 30(2), 221–238.
Townley, R. (1997). The institutional logic of performance appraisal. Organization Studies, 18(2), 261–285.
Townley, R. (1999). Practical reason and performance appraisal. Journal of Management Studies, 36(3), 287–306.
Wilkinson, T. J., Challis, M., Hobma, S. O., Newble, D. I., Parbossingh, J. T., Sibbald, R. G., & Wakefield, R. (2002). The use of portfolios for assessment of the competence and performance of doctors in practice. Medical Education, 36(1), 23–46.
Zuboff, S. (1988). In the age of the smart machine. Oxford: Heinemann.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Chamberlain, J.M. (2012). Epilogue: Sociology, Medical Governance and Citizenship. In: The Sociology of Medical Regulation. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4896-5_8
Download citation
DOI: https://doi.org/10.1007/978-94-007-4896-5_8
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-4895-8
Online ISBN: 978-94-007-4896-5
eBook Packages: Humanities, Social Sciences and LawSocial Sciences (R0)