Changing logics in healthcare and their effects on the identity motives and identity work of doctors

Graqene Martin, Stacey Bushfield (Lead / Corresponding author), Sabina Siebert, Brian Howieson

Research output: Contribution to journalArticle

11 Downloads (Pure)

Abstract

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.

Original languageEnglish
Number of pages23
JournalOrganization Studies
Early online date24 Jan 2020
DOIs
Publication statusE-pub ahead of print - 24 Jan 2020

Fingerprint

Health
Doctors
Identity work
Healthcare
Logic
Consultants
Professionalism
Ambivalence
Institutional logics
National Health Service
Professional identity
Qualitative study
Health care reform
Liminality
Hybridity

Keywords

  • doctors’ professional identities
  • hybrid organizations
  • identity motives
  • identity work
  • senior professionals

Cite this

@article{2a435171fa8744a581ed9d0165b017bd,
title = "Changing logics in healthcare and their effects on the identity motives and identity work of doctors",
abstract = "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.",
keywords = "doctors’ professional identities, hybrid organizations, identity motives, identity work, senior professionals",
author = "Graqene Martin and Stacey Bushfield and Sabina Siebert and Brian Howieson",
year = "2020",
month = "1",
day = "24",
doi = "10.1177/0170840619895871",
language = "English",
journal = "Organization Studies",
issn = "0170-8406",
publisher = "SAGE Publications",

}

Changing logics in healthcare and their effects on the identity motives and identity work of doctors. / Martin, Graqene; Bushfield, Stacey (Lead / Corresponding author); Siebert, Sabina; Howieson, Brian.

In: Organization Studies, 24.01.2020.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Changing logics in healthcare and their effects on the identity motives and identity work of doctors

AU - Martin, Graqene

AU - Bushfield, Stacey

AU - Siebert, Sabina

AU - Howieson, Brian

PY - 2020/1/24

Y1 - 2020/1/24

N2 - 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.

AB - 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.

KW - doctors’ professional identities

KW - hybrid organizations

KW - identity motives

KW - identity work

KW - senior professionals

UR - http://www.scopus.com/inward/record.url?scp=85078078637&partnerID=8YFLogxK

U2 - 10.1177/0170840619895871

DO - 10.1177/0170840619895871

M3 - Article

JO - Organization Studies

JF - Organization Studies

SN - 0170-8406

ER -