{"title":"边际、使命与职业社会学:一次对话。","authors":"Frederic W Hafferty, Lauren Taylor","doi":"10.1353/pbm.2025.a962026","DOIUrl":null,"url":null,"abstract":"<p><p>Hospitals and health systems have become prime movers in US health care, employing more than 77% of the physician workforce and growing in scale through persistent market consolidation (Muoio 2024). These entities' business practices have recently come under sharp scrutiny for appearing to run contrary to some of the more idealistic norms of medicine. While the law is a valuable tool in discouraging and punishing bad organizational behavior, it frequently struggles to keep pace with a changing marketplace. What ethical concepts, if any, can provide a check or constraint on their behavior? Sociologist Fred Hafferty, one of the leading scholars of professionalism in medicine, explores these and other questions in conversation with ethicist and management scholar Lauren Taylor.</p>","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 2","pages":"314-325"},"PeriodicalIF":0.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Margin, Mission, and the Sociology of Profession: a conversation.\",\"authors\":\"Frederic W Hafferty, Lauren Taylor\",\"doi\":\"10.1353/pbm.2025.a962026\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Hospitals and health systems have become prime movers in US health care, employing more than 77% of the physician workforce and growing in scale through persistent market consolidation (Muoio 2024). These entities' business practices have recently come under sharp scrutiny for appearing to run contrary to some of the more idealistic norms of medicine. While the law is a valuable tool in discouraging and punishing bad organizational behavior, it frequently struggles to keep pace with a changing marketplace. What ethical concepts, if any, can provide a check or constraint on their behavior? Sociologist Fred Hafferty, one of the leading scholars of professionalism in medicine, explores these and other questions in conversation with ethicist and management scholar Lauren Taylor.</p>\",\"PeriodicalId\":54627,\"journal\":{\"name\":\"Perspectives in Biology and Medicine\",\"volume\":\"68 2\",\"pages\":\"314-325\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives in Biology and Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1353/pbm.2025.a962026\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HISTORY & PHILOSOPHY OF SCIENCE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Biology and Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1353/pbm.2025.a962026","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HISTORY & PHILOSOPHY OF SCIENCE","Score":null,"Total":0}
Margin, Mission, and the Sociology of Profession: a conversation.
Hospitals and health systems have become prime movers in US health care, employing more than 77% of the physician workforce and growing in scale through persistent market consolidation (Muoio 2024). These entities' business practices have recently come under sharp scrutiny for appearing to run contrary to some of the more idealistic norms of medicine. While the law is a valuable tool in discouraging and punishing bad organizational behavior, it frequently struggles to keep pace with a changing marketplace. What ethical concepts, if any, can provide a check or constraint on their behavior? Sociologist Fred Hafferty, one of the leading scholars of professionalism in medicine, explores these and other questions in conversation with ethicist and management scholar Lauren Taylor.
期刊介绍:
Perspectives in Biology and Medicine, an interdisciplinary scholarly journal whose readers include biologists, physicians, students, and scholars, publishes essays that place important biological or medical subjects in broader scientific, social, or humanistic contexts. These essays span a wide range of subjects, from biomedical topics such as neurobiology, genetics, and evolution, to topics in ethics, history, philosophy, and medical education and practice. The editors encourage an informal style that has literary merit and that preserves the warmth, excitement, and color of the biological and medical sciences.