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Interacting institutional logics in general dental practice.

Rebecca Harris1, Robin Holt

  • 1The University of Liverpool Department of Health Services Research, UK. harrisrv@liverpool.ac.uk

Social Science & Medicine (1982)
|August 13, 2013
PubMed
Summary
This summary is machine-generated.

This study examines institutional logics in general dental practice, identifying business-like healthcare and medical professionalism as dominant values. It further distinguishes subtypes within these logics, offering new insights into healthcare provision.

Keywords:
AccountabilityAutonomyCommercialismDental practiceEnglandInstitutional logicsInstitutional theoryProfessionalism

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Area of Science:

  • Health Services Research
  • Organizational Sociology
  • Dental Public Health

Background:

  • General dental practice operates within a complex organizational field influenced by evolving values.
  • Understanding the institutional logics shaping healthcare provision is crucial for analyzing practice dynamics.
  • Previous research identifies key logics but lacks nuanced distinctions within them.

Purpose of the Study:

  • To investigate the institutional logics (systems of value) in English general dental practice.
  • To identify how these logics influence the everyday work of healthcare provision.
  • To develop a typology of institutional logics present in dental practices.

Main Methods:

  • Analysis of archival literature and policy documents.
  • Interviews with field-level actors and service delivery personnel.
  • Examination of secondary data from 16 English dental practices (2011-12).

Main Results:

  • Two dominant institutional logics were identified: business-like healthcare and medical professionalism.
  • Business-like healthcare is further divided into commercialism versus accountability and procedural diligence.
  • Medical professionalism is distinguished by clinical expertise/independence versus business autonomy/sustainability.

Conclusions:

  • The study provides a nuanced typology of institutional logics in dental practice.
  • These findings enhance understanding of the competing values influencing healthcare delivery.
  • Recognizing these distinct logics is essential for navigating the complexities of dental practice management and policy.