Changing professional identities in the English National Health Service (NHS) acute care: institutional logics and healthcare commissioning

Gougoumanova, Zlatinka, and Guven-Uslu, Pinar (2014) Changing professional identities in the English National Health Service (NHS) acute care: institutional logics and healthcare commissioning. In: Proceedings of the 2014 Asia Conference on Economics & Business Research, pp. 204-222. From: ACEB 2014: 2014 Asia Conference on Economics & Business Research, 13-14 November 2014, Singapore.

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Abstract

The objective of this research is to examine changing identities and organizational practices in instances in which multiple institutional logics compete, conflict, and complement one another in a mature institutional field. It explores the tensions among the professional logic, the relatively recent business logic, and the new governance logic in the field of acute healthcare in the English National Health Service (NHS). In particular, this research proposal addresses the theorization of medical professionals' and other clinicians' identities and commissioning practices. The focus is on the newly legislated entities in England called Clinical Commissioning Groups (CCGs). They are in charge of commissioning acute (and other) healthcare with a budget of about £65 billion. Upon completion, this study is expected to argue that available institutional logics and new structures in a mature institutional field alter professional identities and impact on organizational practices in significant ways. This study would contribute to the understanding of radical institutional change in the public sector and to the further development of the Institutional Logics Theory (ILT). It would do so by examining self-perceived and perceived by others professional identities and organizational practices and their relationships to various types of institutional logics. Twenty-one semi-structured in-depth interviews were conducted in two phases – from September 2012 to April 2013 (when the new CCG system took effect) and from April 2013 to September 2014. So far, seven CCG meetings with the public and NHS conferences have been attended.

Item ID: 39158
Item Type: Conference Item (Presentation)
ISBN: 978-981-09-0089-2
Keywords: NHS, GP, Health and Social Care Act 2012, commissioning, England
Date Deposited: 12 Sep 2017 00:20
FoR Codes: 15 COMMERCE, MANAGEMENT, TOURISM AND SERVICES > 1501 Accounting, Auditing and Accountability > 150199 Accounting, Auditing and Accountability not elsewhere classified @ 100%
SEO Codes: 94 LAW, POLITICS AND COMMUNITY SERVICES > 9499 Other Law, Politics and Community Services > 949999 Law, Politics and Community Services not elsewhere classified @ 100%
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