Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors
| Autor: | Stacey Bushfield, Brian Howieson, Sabina Siebert, Graeme Martin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Organizational Behavior and Human Resource Management
business.industry 030503 health policy & services Strategy and Management education 05 social sciences Identity (social science) Gender studies humanities Focus (linguistics) 03 medical and health sciences Hybridity Work (electrical) RA0421 Public health. Hygiene. Preventive Medicine Management of Technology and Innovation 362 Social welfare problems & services 0502 economics and business Health care Doctors’ professional identities hybrid organizations identity motives identity work senior professionals Sociology 0305 other medical science business health care economics and organizations 050203 business & management |
| Zdroj: | Organization Studies. 42:1477-1499 |
| ISSN: | 1741-3044 0170-8406 |
| DOI: | 10.1177/0170840619895871 |
| Popis: | Recent literature on hybridity has provided useful insights into how professionals have responded to changing institutional logics. Our focus is on how shifting logics have shaped senior medical professionals’ identity motives and identity work in a qualitative study of hospital consultants in the United Kingdom’s National Health Service. We found a binary divide between a large category of traditionalist doctors who reject shifting logics, and a much smaller category of incorporated consultants who broadly accept shifting logics and advocate change, with little evidence of significant ambivalence or temporary identity ‘fixes’ associated with liminality. By developing a new inductively generated framework, we show how the identity motives and identity work of these two categories of doctors differ significantly. We explore the underlying causes of these differences, and the implications they hold for theory and practice in medical professionalism, medical professional leadership and healthcare reform. |
| Databáze: | OpenAIRE |
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