PROFESSIONALISM, EDUCATED LABOR AND THE STATE - HOSPITAL MEDICINE ANDTHE NEW MANAGERIALISM

This article examines the degree to which doctors, as members of an au tonomous profession, function as organic intellectuals within capitali st society (Abercrombie and Urry, 1983) and, more generally, the compl ex and ambivalent relations that sustain their role within a 'service class'. It is in this context that the organization of medical care an d its delivery in Britain will be addressed. In particular, the curren t and intended changes in the organization and control of hospital med icine within the NHS, notably the issues of medical audit, clinical bu dgeting and the role of the 'internal market'.