ArticleSocial science & medicine (1982)2021
The role of professional elites in healthcare governance: Exploring the work of the medical director.
Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Medical specialists in LMICs: a systematic review and best-fit framework synthesis of the evidence on their roles and contribution to health systems.BMJ global health · 2026Pooled it
- Systems Leadership: a qualitative systematic review of advice for policymakers.Open research Europe · 2025Pooled it
- Consensus statements for the establishment of medical intensive care in low-resource settings: international study using modified Delphi methodology.Critical care (London, England) · 2024Article
- Review: Medical directors - Is there a need for reform?SAGE open medicine · 2024Review
- Role of medical leaders in integrated care systems: what can be learnt from previous research?BMJ leader · 2023Article
- Article
- Including a wider range of values in healthcare policy: how can public value evaluation help?Future healthcare journal · 2022Article
- Governing healthcare: the uses and limits of governmentality in the National Health Service in England.Anthropology & medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on hospital boards is associated with higher quality services. What is not known is how they have this effect. Analysing data collected from observations, interviews and documents from 15 healthcare providers in England (2014-2019), we elaborate the role of medical directors in healthcare governance as 'translation work', 'diplomatic work', and 'repair work'. Our study highlights the often enduring emotional effects of repeated structural changes to clinical services. It also contributes to theories of professional restratification, showing the work of medical directors as regional 'political elites', and as 'corporate elites' in publicly-funded healthcare systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.