David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Health Care Analysis 20 (2):119-138 (2012)
Health care organizations are constantly seeking ways to improve quality of care and one of the often-posed solutions to deliver ‘good care’ is reflexivity. Several authors stress that enhancing the organizations’ and caregivers’ reflexivity allows for more situated, and therefore better care. Within quality improvement initiatives, devices that guarantee quality are also seen as key to the delivery of good care. These devices do not solely aim at standardizing work practices, but are also of importance in facilitating reflexivity. In this article, we study how quality improvement devices position the relationship between situated reflection and standardization of work processes. By exploring the work of Michel Callon, Michael Lynch, and Lucy Suchman on reflexivity in work practices, we study the development and introduction of the Care Living Plan. This device aimed to transform care organizations of older people from their orientation towards the system of care into organizations that take a client-centred approach. Our analysis of the construction of specific forms of reflexivity in quality devices indicates that the question of reflexivity does not need to be opposed to standardization and needs to be addressed not only at the level of where reflexivity is organizationally situated and who gets to do the reflecting, but also on the content of reflexivity, such as what are the issues that care workers can and cannot reflect upon. In this paper we point out the theoretical importance of a more detailed empirical study of the framing of reflexivity in care practices
|Keywords||Care for older people Good care Reflexivity Quality improvement Quality improvement devices|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
M. Lynch (2000). Against Reflexivity as an Academic Virtue and Source of Privileged Knowledge. Theory, Culture and Society 17 (3):26-54.
Citations of this work BETA
No citations found.
Similar books and articles
Maya J. Goldenberg (2012). Defining Quality of Care Persuasively. Theoretical Medicine and Bioethics 33 (4):243-261.
P. P. M. Harteloh (2003). The Meaning of Quality in Health Care: A Conceptual Analysis. Health Care Analysis 11 (3):259-267.
Laurence B. McCullough (1994). Should We Create a Health Care System in the United States? Journal of Medicine and Philosophy 19 (5):483-490.
H. Colby William, John Lantos Constance Dahlin & Myra Christopher John Carney (forthcoming). The National Consensus Project for Quality Palliative Care Clinical Practice Guidelines Domain 8: Ethical and Legal Aspects of Care. HEC Forum.
William Colby, Constance Dahlin, John Lantos, John Carney & Myra Christopher (2010). The National Consensus Project for Quality Palliative Care Clinical Practice Guidelines Domain 8: Ethical and Legal Aspects of Care. [REVIEW] HEC Forum 22 (2):117-131.
John B. Davis & Matthias Klaes (2003). Reflexivity: Curse or Cure? Journal of Economic Methodology 10 (3):329-352.
Matthew K. Wynia, Deborah Cummins, David Fleming, Kari Karsjens, Amber Orr, James Sabin, Inger Saphire-Bernstein & Renee Witlen (2004). Improving Fairness in Coverage Decisions: Performance Expectations for Quality Improvement. American Journal of Bioethics 4 (3):87-100.
Ann E. Mills & Mary V. Rorty (2002). Total Quality Management and the Silent Patient. Business Ethics Quarterly 12 (4):481-504.
Joseph Raz (2004). The Role of Well‐Being. Philosophical Perspectives 18 (1):269–294.
Mary V. Rorty (2002). Total Quality Management and the Silent Patient. Business Ethics Quarterly 12 (4):481-504.
Elin Palm (2013). Who Cares? Moral Obligations in Formal and Informal Care Provision in the Light of ICT-Based Home Care. Health Care Analysis 21 (2):171-188.
John Grin (2004). Health Technology Assessment Between Our Health Care System and Our Health: Exploring the Potential of Reflexive HTA. Poiesis and Praxis 2 (s 2-3):157-174.
John D. Stobo (1997). Who Should Manage Care? The Case for Providers. Kennedy Institute of Ethics Journal 7 (4):387-389.
Ori Simchen (2013). Token-Reflexivity. Journal of Philosophy 110 (4):173-193.
Added to index2011-08-13
Total downloads11 ( #292,384 of 1,790,292 )
Recent downloads (6 months)1 ( #429,817 of 1,790,292 )
How can I increase my downloads?