Article ID: CBB580768540

Cultures of caring: Healthcare ‘scandals’, inquiries, and the remaking of accountabilities (February 2018)

unapi

In the UK, a series of high-profile healthcare ‘scandals’ and subsequent inquiries repeatedly point to the pivotal role culture plays in producing and sustaining healthcare failures. Inquiries are a sociotechnology of accountability that signal a shift in how personal accountabilities of healthcare professionals are being configured. In focusing on problematic organizational cultures, these inquiries acknowledge, make visible, and seek to distribute a collective responsibility for healthcare failures. In this article, I examine how the output of one particular inquiry – The Report of the Morecambe Bay Investigation – seeks to make culture visible and accountable. I question what it means to make culture accountable and show how the inquiry report enacts new and old forms of accountability: conventional forms that position actors as individuals, where actions or decisions have distinct boundaries that can be isolated from the ongoing flow of care, and transformative forms that bring into play a remote geographical location, the role of professional ideology, as well as a collective cultural responsibility.

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Authors & Contributors
Pickersgill, Martyn
Colleen Lanier-Christensen
Stephen Secules
Spackman, Christy C. W.
Gondwe, Mzamose
Kim, Myungsim
Journals
Science, Technology and Human Values
Social Studies of Science
East Asian Science, Technology and Society: An International Journal
Tapuya: Latin American Science, Technology and Society
Engineering Studies
Concepts
Technoscience; science and technology studies
Regulation
Medicine
Culture
Expertise
Ethics
People
Hwang, Woo-suk
Time Periods
21st century
Places
Great Britain
United States
South Korea
Latin America
Japan
Europe
Institutions
Organisation for Economic Co-operation and Development
UK Stem Cell Bank
National Institute of Mental Health (U.S.)
National Health Service (Great Britain)
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