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The complexity of social practice : understanding inertia and change in maternity care organizations

Reiger, Kerreen, Lane, Karen, Schofield, Toni and Short, Stephanie 2008, The complexity of social practice : understanding inertia and change in maternity care organizations, in TASA 2008 : Re-imagining sociology : the annual conference of the Australian Sociological Association 2008, 2-5 December 2008, The University of Melbourne, TASA, Melbourne, Vic., pp. 1-12.

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Title The complexity of social practice : understanding inertia and change in maternity care organizations
Author(s) Reiger, Kerreen
Lane, Karen
Schofield, Toni
Short, Stephanie
Conference name Australian Sociological Association. Conference (2008 : Melbourne, Vic.)
Conference location University of Melbourne, Victoria
Conference dates 2 - 5 December 2008
Title of proceedings TASA 2008 : Re-imagining sociology : the annual conference of the Australian Sociological Association 2008, 2-5 December 2008, The University of Melbourne
Editor(s) Majoribanks, T.
Barraket, J.
Chang, J-S.
Dawson, A.
Guillemin, M.
Henry-Waring, M.
Kenyon, A.
Kokanovic, R.
Lewis, J.
Lusher, D.
Nolan, D.
Pyett, P.
Robins, R.
Warr, D.
Wyn, J.
Publication date 2008
Conference series Australian Sociological Association Conference
Start page 1
End page 12
Publisher TASA
Place of publication Melbourne, Vic.
Keyword(s) maternity care
organisational change
professions
health services
social theory
Summary Beyond the limited efficiency and economy goals of neoliberal health policy lies the promise of genuine health services reform. In maternity care in particular, recent policy developments have sought to make the management of birth more ‘women-centred and family-friendly’. Interprofessional collaboration and greater consumer participation in policy and decision-making are key means to achieve this goal, but changing the entrenched system of medicalised birth remains difficult. Recent social contestation of maternity care has destabilised but not eradicated pervasive medical hegemony. Further reform requires analysis both of institutionalised patterns of power, and attention to the fluidity and situated knowledge shaping organisational and professional practices. Accordingly, this paper outlines a framework with which to explore the multi-layered social processes involved in implementing organisational and cultural change in maternity care. Analysis of social interventions in health systems, we suggest, can be advanced by drawing on strands from critical organization studies, complexity and critical discourse theories and social practice approaches.
ISBN 9780734039842
Language eng
Field of Research 111717 Primary Health Care
HERDC Research category E1 Full written paper - refereed
Copyright notice ©2008, TASA
Persistent URL http://hdl.handle.net/10536/DRO/DU:30018370

Document type: Conference Paper
Collection: School of History, Heritage and Society
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