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The subject in academic literature on healthcare management: notes on the issue of autonomy

The paper analyses concepts of the 'subject' in academic literature on Healthcare Management. The corpus of the survey consists of papers published in journals in the Collective Health field over the past five years. The papers examined for this analysis consider that (healthcare) work in the context of capitalism is based on an antinomy that we call "autonomy-control", striving to explore the possibilities of surmounting this antinomy in each concept. The analysis lists three different concepts of the subject: psychological-cognitivist, psychoanalytical-subjectivist and historical-communicative. This paper also discusses the relationship between these concepts of subject and their possibilities of producing autonomy on one hand, and the capitalist organization of culture and labor on the other.

Autonomy; Healthcare management; Work process in healthcare; Organization culture


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