What question did this study set out to answer?

The article aims to explore the roles of authority and hierarchy in healthcare and the potential for horizontal organization.

April 19, 2026Nursing PhilosophyOpen Access

Against Hierarchy: Organizing Horizontally in Healthcare

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This article challenges hierarchical authority in healthcare, suggesting horizontal organization enhances control and well-being.

The article aims to explore the roles of authority and hierarchy in healthcare and the potential for horizontal organization.
Analyzed the impact of hierarchy on healthcare practices.
Reviewed anarchist scholarship critiquing authority structures.
Examined literature documenting harms of hierarchical organization.
Highlighted that flattening hierarchies improves individual control and participation.
Demonstrated successful examples of horizontal organization in healthcare settings.
Indicated that hierarchical structures are often perceived as natural but can be challenged.

Ryan Essex (2026) studied this question.

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