The Professions, State and the Market: Medicine in Britain, the United States and Russia, 1st Edition (Hardback) book cover

The Professions, State and the Market

Medicine in Britain, the United States and Russia, 1st Edition

By Mike Saks


160 pages

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Hardback: 9780415674386
pub: 2015-06-24
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This unique book enhances our understanding of the links between professions, the state and the market – and their implications for the public in terms of professional practice. In so doing, the book adopts a neo-Weberian perspective, in which professions are seen as a form of exclusionary social closure based on legal boundaries established by the state.

To illustrate the overarching theme, the book considers how healthcare in general, and medicine in particular as a form of professional work, is organized in public and private arenas in three societies with different socio-political philosophies - namely, Britain, the United States and Russia. As such, it examines the varying extent to which the development of independent professional organizations has been enhanced or restricted in public, as compared to more privatized social contexts. The comparative perspective adopted in this book thereby provides insight into the organization of professional work in different contexts and the all-important effects of this on delivery to the public.

This book will be of particular interest to scholars, researchers and students of Management, Public Policy and Health Care.


'Mike Saks is very well suited for this project, he has written, published and presented on this kind of material over a number of years. His writing style is lucid and has clarity and he presents complex theoretical ideas in a clear and accessible style.' - Mike Dent, Emeritus Professor of Health Care Organisation, Staffordshire University, UK

'This book is a tour de force from one of the leading neo-Weberian thinkers on the professions. Using a comparative frame, and taking medicine and health as a case study, Saks considers the extent to which different socio-political philosophies have shaped the organisation of professional work in the US, UK and Russia. He also has some important messages about development of professionalism and its implications for clients and the wider public in these different socio-political contexts. As such the book will be of considerable interest to students of the professions and to professionals themselves.' - Jonathan Gabe, Professor, Royal Holloway University of London, UK

'Sociological explanations of the rise, fall and resilience of the medical profession have been seriously limited by the ability to fully understand the influence of the socio-political context of the health care system. Drawing on a primarily neo-Weberian perspective, this excellent, international comparative analysis effectively fills this gap and provides unique insights into the relationship between different healthcare systems and medical professionalism.' - Michael Calnan, Professor, University of Kent, UK

Table of Contents

Part I: Introduction 1. Professions in Comparative Perspective: The Case of Medicine Part II: The Medical Profession, State and the Market 2. Medicine in Britain 3. Medicine in the United States 4. Medicine in Russia  Part III: Conclusion 5. The Professions, State and the Market: Medicine in Context

About the Author

Mike Saks is Research Professor in Health Policy at University Campus Suffolk, UK, and Visiting Professor at the University of Lincoln, UK, and the University of Toronto, Canada. He has published over a dozen books with top publishers on professions, health care and research methods.

About the Series

Routledge Critical Studies in Public Management

The study and practice of public management has undergone profound changes across the world. Over the last quarter century, we have seen

  • the increasing criticism of public administration as the over-arching framework for the provision of public services
  • the rise (and critical appraisal) of the ‘New Public Management’ as an emergent paradigm for the provision of public services
  • the transformation of the ‘public sector’ into the cross-sectoral provision of public services
  • the growth of the governance of inter-organizational relationships as an essential element in the provision of public services

In reality these trends have not so much replaced each other as elided or co-existed together – the public policy process has not gone away as a legitimate topic of study, intra-organizational management continues to be essential to the efficient provision of public services, whist the governance of inter-organizational and inter-sectoral relationships is now essential to the effective provision of these services.

This series is dedicated to presenting and critiquing this important body of theory and empirical study. It will publish books that both explore and evaluate the emergent and developing nature of public administration, management and governance (in theory and practice) and examine the relationship with and contribution to the over-arching disciplines of management and organizational sociology. Books in the series will be of interest to academics and researchers in this field, students undertaking advanced studies, and reflective policy makers and practitioners.

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Nonprofit Organizations & Charities
BUSINESS & ECONOMICS / Government & Business
BUSINESS & ECONOMICS / Organizational Behavior