Using theories of occupational boundary maintenance and expansion, the article identifies the structural conditions and resource-mobilization processes which facilitate the development of emerging occupational groups, especially specialties within the medical profession. Data from several sources, including a recent comprehensive survey of over 1,000 physicians in medical management, are presented to augment a discussion of the motivations for, and state of development of, the movement to achieve formal specialty recognition on behalf of this group.
Get full access to this article
View all access options for this article.
References
1.
Abbott, A.
(1988). The system of professions. Chicago: University of Chicago Press.
2.
American Academy of Medical Directors
. (1986). Published membership materials. Tampa, FL: Author.
3.
American Medical Association.
(1987). Trends in U.S. health care. Center for Health Policy Research. Chicago: AMA.
4.
Bucher, R.
(1962). Pathology: A study of social movements within a profession. Social Problems, 10, 40-51.
5.
Bucher, R.
(1988). On the natural history of health care occupations. Work and Occupations, 15, 131-147.
6.
Bucher, R.
, & Strauss, A. L. (1961). Professions in process. American Journal of Sociology, 66, 325-334.
7.
Detmer, D.
, & Noren, J. (1981). An administrative medicine program for clinician-executives. Journal of Medical Education, 56, 640-645.
8.
Freedman, M.
(1976). Labor markets: Segments and shelters. Montclair, NJ: Allanheld, Osmun.
9.
Freidson, E.
(1970). Profession of medicine. New York: Harper & Row.
10.
Freidson, E.
(1982). Occupational autonomy and labor market shelters. In P. L. Stewart & M. G. Cantor (Eds.), Varieties of work (pp. 39-54). Beverly Hills, CA: Sage.
11.
Freidson, E.
(1985). The reorganization of the medical profession. Medical Care Review, 42, 11-35.
12.
Freidson, E.
(1986a). Professional powers. Chicago: University of Chicago Press.
13.
Freidson, E.
(1986b). The medical profession in transition. In L. H. Aiken & D. Mechanic (Eds.), Applications of social science to clinical medicine and health policy (pp. 63-79). New Brunswick, NJ: Rutgers University Press.
14.
Goss, M.E.W.
(1962). Administration and the physician. American Journal of Public Health, 52, 183-191.
15.
Gritzer, G.
(1981). Occupational specialization in medicine. Research in the Sociology of Health Care, 2, 251-283.
16.
Gritzer, G.
, & Arluke, A. (1985). The making of rehabilitation. Berkeley: University of California Press.
17.
Hodge, R. W., Jr.
, & Nash, D. B. (1987). The physician-executive. In D. B. Nash (Ed.), Future practice alternatives in medicine (pp. 235-264). New York: Igaku-Shoin.
18.
Kindig, D. A.
, & Lastiri, S. (1986). Administrative medicine: A new specialty?Health Affairs, 6, 146-156.
19.
Larson, M. S.
(1977). The rise of professionalism. Berkeley: University of California Press.
20.
Light, D.
(1986). Corporate medicine for profit. Scientific American, 255, 38-45.
21.
McKinlay, J.
(1982). Toward the proletarianization of physicians. In C. Derber (Ed.), Professionals as workers: Mental labor in advanced capitalism (pp. 37-62). Boston: Hall.
22.
Montgomery, K. (1987). Career shifts in the changing medical profession: A study of physicians in medical management Unpublished doctoral dissertation, New York University.
23.
Montgomery, K.
(1988). The threat of corporatization and its recapture by the medical profession. Paper presented at the annual meeting of the American Sociological Association, Atlanta.
24.
Parkin, F.
(1979). Marxism and class theory: A bourgeois critique. New York: Columbia University Press.
25.
Relman, A.
(1980). The new medical-industrial complex. New England Journal of Medicine, 303, 963-970.
26.
Riska, E.
, & Buffenbarger, N. (1982). Primary care delivery: Is family medicine the solution?Research in the Sociology of Health Care, 2, 295-303.
27.
Rosen, G.
(1942). Changing attitudes of the medical profession to specialization. Bulletin of the History of Medical Education, 12, 343-354.
28.
Saks, M.
(1983). Removing the blinkers? A critique of recent contributions to the sociology of professions. Sociological Review, 31, 1-21.
29.
Starr, P.
(1982). The social transformation of American medicine. New York: Basic Books.
30.
Stevens, R.
(1971). American medicine and the public interest. New Haven, CT: Yale University Press.
31.
U.S. Department of Health and Human Services
. (1981). Summary report of the Graduate Medical Education National Advisory Committee. (DHHS Publication No. ADM 81-651) Washington, DC: U.S. Government Printing Office.
32.
Wertz, R.
& Wertz, D. (1981). Notes on the decline of midwives and the rise of medical obstetricians. In P. Conrad & R. Kern (Eds.), The sociology of health and illness (pp. 165-183). New York: St. Martin's.