What Is New in Professions Theory? Contributions from Actor Perspective(s)
The purpose is to provide a comprehensive explanation of how NPM health reforms impact on micro-level relationships on health organisations, namely the interplaying of doctors with other health professions, managers and patients. New questions arise concerning the understanding of how cooperation between different health professions is construct as they work together in the best interest of patients. As teamwork is a network of semi-independent professionals who tend to represent their professional organisations and groups, the impact of managerialism in healthcare may not improve the situation and brings new challenges to sociology of professions. Research on professions tends to analyse tension/cooperation problems among health professions ignoring the fact that multi-professional cooperation as the same character as mono-professional cooperation, to preserve collegiality through co-existence. This idea challenges the three stands on professions theory: service ideal, discretionary power and professional dominance. My argument is that these three stands allow us only to explain part of the tensions/cooperation problems and that professionals are strongly influenced but not determinate by their professional logics. The actor perspective offers a useful interpretation in understanding individuals’ cooperation problems among health multi-professional teamwork.