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Twenty years of management of care in Chile: what we know, what we do not know, what is yet to come. An analysis of arguments
  1. Ricardo A Ayala1,2
  1. 1 Department of Sociology, Ghent University, Ghent, Belgium
  2. 2 Research Foundation Flanders, Brussels, Belgium
  1. Correspondence to Dr Ricardo A Ayala, Department of Sociology, Ghent University, Ghent 9000, Belgium; RicardoAlexis.AyalaValenzuela{at}


For over 20 years, the notion of ‘management of care’ has been foregrounded as key in the jurisdiction of the nursing profession, with the aim of detaching itself from the wider medical umbrella. A number of voices have advocated such centrality. These include juridical, academic and occupational perspectives. Critical stances, although peripheral, have also been voiced. These have been received, at best, with a ‘polite silence’ in mainstream circles.

By looking at the arguments surrounding the ‘management of care’ circulated in these two decades, this article reports the various forms of discursive practice that participate in the political process of autonomy building. Particularly, we focus on the validity of the arguments as well as the cohesion across arguments within the knowledge system. In doing so, we evaluate its main premises and foundations, the reach of the conceptualisation and its disjointed, differing and incomplete bases. Similarly, we used an inferential technique for the reconstruction of omitted and unexpressed assertions.

The article introduces an approach of the humanities that is seldom seen in healthcare. It also proposes a research agenda in regard to management of care for the upcoming decades.

  • linguistics
  • nurse
  • narrative ethics
  • health care manager

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  • Contributors I am the sole contributor to this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement All primary sources used in this research are publicly available.