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Record W7133908668 · doi:10.1080/07078552.2025.2598512

Managerialism in the Neoliberal Hospital

2025· article· en· W7133908668 on OpenAlexaffvenueabout
Guytano Virdo

Bibliographic record

VenueStudies in Political Economy · 2025
Typearticle
Languageen
FieldBusiness, Management and Accounting
TopicManagement and Organizational Studies
Canadian institutionsYork University
Fundersnot available
KeywordsManagerialismNeoliberalism (international relations)AutonomyPoliticsWork (physics)PandemicTheme (computing)Health care

Abstract

fetched live from OpenAlex

Hospital work is heavily impacted by relationships within hospitals and by external political forces. This study examines the impact of neoliberalism and managerialism on workers in Ontario hospitals prior to May 2020. Through interviews with 20 hospital workers, it reveals diminishing autonomy and a growing physical and metaphorical distance between workers and management. This study demonstrates that long-standing problems existed in health care prior to the pandemic due to the impact of neoliberalism. This paper is part of the SPE special theme “Decent care work: politics, policy, and resistance.”

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.208
Threshold uncertainty score0.414

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0150.040
Scholarly communication0.0070.002
Open science0.0010.005
Research integrity0.0010.003
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.272
Teacher spread0.254 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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