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Talk about values in the British National Health Service

机译:谈论英国国家卫生局的价值观

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Value judgements and values talk are central to the practices of professions. Most obviously, the politically potent - if sociologically questionable - notion of a profession as a self-regulating occupation that deploys expertise in the public interest has at its core the idea of professionals abiding by a necessarily value-saturated professional code (Johnson 1972). In addition, concepts important to particular professions - such as justice, amenity and health - are ineradicably value-inflected (Thomas 1987). In that way, values-talk is central to professional identity-formation. Given that identity is formed in part through boundary-definition and boundary-policing, it is clear that professional values-talk is not simply inward-looking. On the contrary, it appears to be used in a variety of ways to attempt to regulate relations with those that professionals come across in their working environments.Yet professionals do not have a clear field in which to espouse and enact values (Freidson 2001). Public policy - which ultimately sanctions, and can constrain, so much of a profession's authority - will itself be couched in the vocabulary of values, whatever realpolitik may sometimes motivate individual interventions or policies.
机译:价值判断和价值观交流对于职业实践至关重要。最明显的是,在政治上有潜力(如果在社会学上值得怀疑的话)的专业是为了公共利益而部署专业知识的自我调节型职业,其核心思想是专业人士必须遵守价值饱和的专业守则(Johnson,1972年)。此外,对特定职业重要的概念,例如正义,便利和健康,具有不可替代的价值变形(Thomas 1987)。通过这种方式,价值对话对于专业身份形成至关重要。鉴于身份是部分由边界定义和边界管理形成的,因此很显然,专业价值观对话并非简单地向内看。相反,它似乎以多种方式试图调节与专业人员在工作环境中遇到的关系。然而,专业人员并没有一个明确的领域来拥护和确立价值观(Freidson 2001)。公共政策-最终会制裁该行业的大部分权力,并可能限制该行业的权威-本身就会被价值词汇所束缚,无论实际政治有时会激发个人的干预或政策是什么。

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