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Understanding the evolution of competing institutional logics in the marketization of care: A stage model analysis of Australia's National Disability Insurance Scheme

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  • Salignac, Fanny
  • Barkemeyer, Ralf
  • Franklin-Johnson, Elizabeth
  • Dzhengiz, Tulin

Abstract

This study explores the marketization of healthcare through a stage model analysis, focusing on Australia's National Disability Insurance Scheme (NDIS). By employing mixed methods, including sentiment and frequency analysis as well as qualitative content analysis of policy documents and media coverage, we trace the NDIS's evolution and the interplay of competing social welfare and market logics over time. Our findings underline that the evolution and interplay between competing institutional logics follow a stage model of institutional change, detailing pre-emergence, orientation, contestation, consolidation, and normalization phases. Additionally, we observe a shift in dominant institutional logics across different stages, demonstrating the critical role of media and public sentiment in shaping discourse about the marketization of care, which intertwines with policy decision-making. Our findings emphasize the importance of adaptive engagement and communication strategies by policymakers to avoid marginalizing vulnerable groups as institutional logics evolve, especially in the latter stages of the process when a dominant logic has emerged. The study highlights the complex dynamics of institutional change and offers insights for both researchers and practitioners in the healthcare sector, shedding light on the coevolution of competing logics in the policy development and implementation process.

Suggested Citation

  • Salignac, Fanny & Barkemeyer, Ralf & Franklin-Johnson, Elizabeth & Dzhengiz, Tulin, 2024. "Understanding the evolution of competing institutional logics in the marketization of care: A stage model analysis of Australia's National Disability Insurance Scheme," Health Policy, Elsevier, vol. 149(C).
    • Handle: RePEc:eee:hepoli:v:149:y:2024:i:c:s0168851024001830
    DOI: 10.1016/j.healthpol.2024.105173
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    References listed on IDEAS

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    1. Andrew J. Hoffman & William Ocasio, 2001. "Not All Events Are Attended Equally: Toward a Middle-Range Theory of Industry Attention to External Events," Organization Science, INFORMS, vol. 12(4), pages 414-434, August.
    2. Altman, Morris, 2012. "Behavioural economics perspectives: Implications for policy and financial literacy," Working Paper Series 18662, Victoria University of Wellington, School of Economics and Finance.
    3. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    4. Diane Holt & Ralf Barkemeyer, 2012. "Media coverage of sustainable development issues – attention cycles or punctuated equilibrium?," Sustainable Development, John Wiley & Sons, Ltd., vol. 20(1), pages 1-17, January.
    5. Altman, Morris, 2012. "Behavioural economics perspectives: Implications for policy and financial literacy," Working Paper Series 2195, Victoria University of Wellington, School of Economics and Finance.
    6. Christopher Weible & Tanya Heikkila & Peter deLeon & Paul Sabatier, 2012. "Understanding and influencing the policy process," Policy Sciences, Springer;Society of Policy Sciences, vol. 45(1), pages 1-21, March.
    7. Filipe Santos & João Cotter Salvado & Isabel Lopo Carvalho & Uwe G. Schulte, 2013. "The Life Cycle of Social Innovations," CSR, Sustainability, Ethics & Governance, in: Thomas Osburg & René Schmidpeter (ed.), Social Innovation, edition 127, pages 183-195, Springer.
    8. Dedehayir, Ozgur & Steinert, Martin, 2016. "The hype cycle model: A review and future directions," Technological Forecasting and Social Change, Elsevier, vol. 108(C), pages 28-41.
    9. Cutler, Henry & Gu, Yuanyuan & Bilgrami, Anam & Partington, Andrew, 2023. "The 2021 proposal to increase market forces in the Australian residential aged-care sector," Health Policy, Elsevier, vol. 127(C), pages 60-65.
    10. Amit Nigam & William Ocasio, 2010. "Event Attention, Environmental Sensemaking, and Change in Institutional Logics: An Inductive Analysis of the Effects of Public Attention to Clinton's Health Care Reform Initiative," Organization Science, INFORMS, vol. 21(4), pages 823-841, August.
    11. repec:bla:ausecr:v:41:y:2008:i:2:p:222-228 is not listed on IDEAS
    12. van den Broek & Boselie & Paauwe, 2014. "Multiple Institutional Logics in Health Care: 'Productive Ward: Releasing Time to Care'," Public Management Review, Taylor & Francis Journals, vol. 16(1), pages 1-20, January.
    13. Altman, Morris, 2012. "Implications of behavioural economics for financial literacy and public policy," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 41(5), pages 677-690.
    14. Julian Le Grand, 2007. "Introduction to The Other Invisible Hand: Delivering Public Services through Choice and Competition," Introductory Chapters, in: The Other Invisible Hand: Delivering Public Services through Choice and Competition, Princeton University Press.
    15. Avishai Benish & Dana Halevy & Shimon Spiro, 2018. "Regulating social welfare services: Between compliance and learning," International Journal of Social Welfare, John Wiley & Sons, vol. 27(3), pages 226-235, July.
    Full references (including those not matched with items on IDEAS)

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