title: Power, control and resistance in the timing of health and care.
abstract: In the modern period, time has been commodified and can be bought, sold and bartered. This paper argues that this means that while time may be a tool of power and control, it is also a site for resistance to power. Four case studies are evaluated from this perspective. A day-case surgery unit is examined to identify the routinization of health care, with time as a tool of control. Decisions over discharge from hospital following surgery demonstrate how time may be 'sold' to 'buy' future time. The disruption of routines during surgery suggest how time may be used as a means of resisting power, while in residential homes, old people find time on their hands as it is transformed into something which must be filled. It is argued that resistance is not achieved by recourse to 'natural' (as opposed to cultural) time, but by rethinking time creatively.
authors.affiliation: University of Sheffield, UK.
authors.forename: N J
authors.initials: NJ
authors.lastname: Fox
mesh_terms: D001315:Australia; D003365:Costs and Cost Analysis; D005260:Female; D006769:Hospitals, General / Q000458:organization & administration*; D006801:Humans; D007902:Length of Stay; D008297:Male; D019982:Organizational Case Studies; D015279:Organizational Culture; D010043:Outcome and Process Assessment, Health Care; D010351:Patient Discharge; D017060:Patient Satisfaction; D011209:Power, Psychological; D013503:Surgery Department, Hospital / Q000458:organization & administration; D013531:Surgicenters / Q000458:organization & administration; D017748:Time Management; D006113:United Kingdom