Abstract

http://ssrn.com/abstract=1873545
 
 

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Organizational Powers: Capture of Professional Jurisdiction in the Case of U.S. Retail Clinics


Roman V. Galperin


Johns Hopkins University

September 12, 2014

Johns Hopkins Carey Business School working paper

Abstract:     
This paper advances the theory of the division of professional labor by including organizations as actors capable of entering markets protected by professional monopoly, capturing professional jurisdiction and altering the system of professions. Using the case of retail health clinics in the U.S., the paper suggests a strategy that allows organizations to overcome the barriers of legal license and cultural authority protecting professional jurisdiction. In the case, retail clinic organizations changed the nursing profession’s jurisdictional settlement with physicians in a way that benefitted neither profession, but allowed the organizations to capture the professions’ rents. Retail clinic organizations thus inserted themselves into the interprofessional competition and acted as meta-professions, an outcome that does not fit the existing theory. To explain this outcome, the paper elaborates the theory by reconceptualizing jurisdiction as rights and their use, introducing jurisdictional work as a process connecting the two components of jurisdiction, and recognizing the problem of professional collective action. The resulting model allows organizations to exert effective control over a professional jurisdiction and extract related rents without explicitly holding the jurisdiction. Implications for deskilling of professional work are discussed.

Number of Pages in PDF File: 57

Keywords: Occupations and Professions, Professional Jurisdiction, Occupational License, Ecological Models, Organization Theory, Collective Action

JEL Classification: J44, D45, I11

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Date posted: June 27, 2011 ; Last revised: September 25, 2014

Suggested Citation

Galperin, Roman V., Organizational Powers: Capture of Professional Jurisdiction in the Case of U.S. Retail Clinics (September 12, 2014). Johns Hopkins Carey Business School working paper. Available at SSRN: http://ssrn.com/abstract=1873545 or http://dx.doi.org/10.2139/ssrn.1873545

Contact Information

Roman V. Galperin (Contact Author)
Johns Hopkins University ( email )
100 International Drive
13th Floor
Baltimore, MD 21202-1099
United States
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