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    Tributo a René C. Fox

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    Generational gap e nuovo professionalismo medico. Note preliminari per una ricerca empirica

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    In this paper the generational variable is used as a key to the interpretation of the changes that are taking place in medical professionalism. The hypothesis is that several changes in the practice of medicine are due to the generational change (as well as to the feminization of the profession). From many years the sociology of professions has tried to understand the reasons for the different ways of practicing the medical profession, however, it has neglected the generational gap. After reconstructing the debate on new medical professionalism, the paper focuses on three different theoretical models (those of Hafferty and Castellani 2010, Julia Evetts 2011 and Vicarelli and Spina 2013), in order to re-interpret them by using the generational dynamic. Greater attention is paid to one model in particular, analysing in detail the concept of collaborative community. By using the main findings of some empirical researches, the paper highlights how the concept of community changes when a generational change takes place. Further empirical research should be carried out in order to verify a theoretical hypothesis that, nevertheless, appears to be compelling, showing the importance of the generational variable as reading key to the interpretation of diverse medical practice and, ultimately, of the variety of professionalisms

    La professione ostetrica: mutamenti e nuove prospettive

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    The paper focuses on the professionalization of Italian midwifery which, in recent years, has been involved in a process of social and professional mobility, together with twenty-one other health occupations. A historical-relational approach has been used. It adheres to Elias’ theoretical perspective according to which professions are considered as the result of the network of relationships that individuals build, therefore influencing their behaviour. Starting from the onset of the XX century, the history of midwifery is reconstructed by dividing it into three distinct phases where periods of professional autonomy alternate with periods of dominationand subordination, thus limiting the acquisition of a professional status. Finally, in the conclusions the paper foreshadows the advent of a fourth phase in which new opportunities as well as new risks may appear for midwives. Only if the latter are able to grasp these opportunities while limiting the risks, can they achieve a higher professional status

    I giovani medici tra carichi di lavoro e stress. Gli esiti di una ricerca

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    Several studies focused on the causes and effects of stress and burnout suffered by helpful professions, including doctors. Some of these studies, particularly in recent times, focused on a particular segment of the medical profession, that represented by the young physicians explaining how they are suffering stress and other professional illnesses since the early years of their career. Also in relation to the Italian situation, some studies documented this phenomenon; however, the situation could change in the near future due to the entry into force of the European regulations in November 2015. The new law reorganizes the doctor’s work in order to promote the professionals’ well-being. This chapter presents the results of a pilot research conducted by the Centre for Research and service on social and health integration (CRISS) of the Università Politecnica delle Marche on 100 young professionals registered with the Order of doctors of the province of Ancona. The survey brings to light several critical aspects revealing how young doctors are highly stressed because of hard working hours and high workloads

    Welfare e maternity care. Istituzioni, professioni e territori

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    Il volume si focalizza sul maternity care, assunto a caso paradigmatico per leggere le modellizzazioni dei servizi sanitari e dei sistemi di welfare prodotte dalla letteratura sul tema. Il maternity care viene qui visto come un microcosmo all’interno del settore sanitario, dotato di proprie logiche e dinamiche in relazione alle istituzioni che lo regolano, agli attori (utenti e professionisti) che lo popolano e ai territori nei quali si situa. L’idea è che ciascun microcosmo che compone il settore sanitario e, più in generale, il sistema di welfare, agisca secondo logiche proprie che vanno tenute in debita considerazione per giungere a modellizzazioni che, pur semplificando, tengano conto della complessità che caratterizza la realtà sociale. A tale scopo vengono proposti parametri di analisi tipicamente sociologici, a integrazione di quelli già consolidati, che guardano agli attori, e alle loro motivazioni, e al grado di legittimazione pubblica dei diversi bisogni e dei rischi sociali. La prospettiva adottata suggerisce, infatti, non solo di ripensare alle dinamiche che stanno alla base della costruzione dei modelli di welfare e della loro trasformazione, ma anche di riconsiderare quest’ultimo come oggetto di studio

    The Italian Dental Sector in a Period of Economic Crisis

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    A deep economic crisis started in Italy in 2008 leading to a reduction of general household consumptions, especially in the oral health care sector. The dental sector is characterized by the almost exclusively private nature of the services offered outside the INHS, thus taking the form of a demand-driven sector. The paper focuses on Italian dentists' perception of the economic crisis. It presents the first findings of an empirical research that was carried out in order to verify if and to what extent this occupational category perceived the economic crisis, if any threats were felt, what changes and challenges it was experiencing and what kind of strategies the profession has been implementing in order to overcome the crisis. Although dentists clearly state their problems and the perceived threats, they are not able to identify possible solutions as well

    Professionalismo medico e obiezione di coscienza nell’IVG. Alcune ipotesi di ricerca

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    While legalizing voluntary interruption of pregnancy (VIP) in Italy, law n.194/1978 introduced the clause of conscientious objection and, since then, many gynaecologists have invoked this right. While the literature on this issue is extensive, there is a lack of contributions that, adopting the perspective of the sociology of the professions, focus on the consequences of this choice on professional group. After all, the debate on medical professionalism is overly crystallizing on some aspects by neglecting some others which still appear crucial. Some hypotheses were then formulated: the first is that conscientious objection represents a rift within the gynaecology; the second is that pro-choice gynaecologists experience marginality; finally, the third is that they better identify themselves in a constructed community, including professionals who share the same values rather than the same knowledge, undermining the unity of the professional group
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