CO-OPTATION, COMMODIFICATION AND THE MEDICAL MODEL: GOVERNING UK MEDICINE SINCE 1991
Article first published online: 2 MAR 2009
© 2009 The Author. Journal compilation © 2009 Blackwell Publishing Ltd
Volume 87, Issue 2, pages 184–197, June 2009
How to Cite
HARRISON, S. (2009), CO-OPTATION, COMMODIFICATION AND THE MEDICAL MODEL: GOVERNING UK MEDICINE SINCE 1991. Public Administration, 87: 184–197. doi: 10.1111/j.1467-9299.2008.01752.x
- Issue published online: 2 MAR 2009
- Article first published online: 2 MAR 2009
- Date received 13 August 2007. Date accepted 18 November 2007.
Self-regulation and autonomy are traditionally treated as distinctive elements of how professions are governed in contrast to other occupations. For medicine, these elements provide a collective medium of governance (through the institutions of professional self-regulation) and an individual medium (through the practice of 'clinical autonomy'). Both are reinforced by the intellectual dominance of the so-called 'biomedical model' of health and illness. Analysts generally agree that, in many countries, both self-regulation and clinical autonomy are under significant challenge. But it is less obvious that, in the UK at least, the biomedical model has effectively been co-opted for managerial purposes to support the commodification of medical care. Thus ideas that have traditionally been considered as supporting medical dominance have transpired to be a source of weakness for the profession.