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Physician entrepreneurship: A study of early career physicians’ founding motivations and actions

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  • Hoang, Ha
  • Perkmann, Markus

Abstract

The literature on professional socialization suggests that their training and socialization lead physicians to prioritize professionally prescribed activities over entrepreneurial activity. This leaves unexplained how and why early career physicians would engage in entrepreneurship, a behavior that many healthcare organizations now seek to encourage. To address this shortcoming, we conducted an inductive study, augmented with survey data, of UK National Health Service physicians involved in entrepreneurial projects. We detail a process of physician entrepreneurship underpinned by organizational improvement motives and identification with the organization. Entrepreneurs breached constraining roles and formed ventures which originated as intrapreneurial initiatives but shifted to individual-level resourcing. Entrepreneurial behaviors coincided with physicians’ commitment to remain with the NHS albeit with adjustments to their career plans. Overall, the study suggests that physicians manage the pressure exerted by professional socialization by adapting both the kind of entrepreneurial projects and career pathways they pursue.

Suggested Citation

  • Hoang, Ha & Perkmann, Markus, 2023. "Physician entrepreneurship: A study of early career physicians’ founding motivations and actions," Social Science & Medicine, Elsevier, vol. 339(C).
    • Handle: RePEc:eee:socmed:v:339:y:2023:i:c:s0277953623007505
    DOI: 10.1016/j.socscimed.2023.116393
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    References listed on IDEAS

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    1. David M. Cutler, 2011. "Where Are the Health Care Entrepreneurs? The Failure of Organizational Innovation in Health Care," NBER Chapters, in: Innovation Policy and the Economy, Volume 11, pages 1-28, National Bureau of Economic Research, Inc.
    2. Erik Hurst & Benjamin Wild Pugsley, 2011. "What Do Small Businesses Do?," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 42(2 (Fall)), pages 73-142.
    3. Hoang, Ha & Gimeno, Javier, 2010. "Becoming a founder: How founder role identity affects entrepreneurial transitions and persistence in founding," Journal of Business Venturing, Elsevier, vol. 25(1), pages 41-53, January.
    4. Paul S. Adler & Seok-Woo Kwon, 2013. "The Mutation of Professionalism as a Contested Diffusion Process: Clinical Guidelines as Carriers of Institutional Change in Medicine," Journal of Management Studies, Wiley Blackwell, vol. 50(5), pages 930-962, July.
    5. Beagan, Brenda L., 2000. "Neutralizing differences: producing neutral doctors for (almost) neutral patients," Social Science & Medicine, Elsevier, vol. 51(8), pages 1253-1265, October.
    6. Julie Battilana, 2011. "The Enabling Role of Social Position in Diverging from the Institutional Status Quo: Evidence from the UK National Health Service," Organization Science, INFORMS, vol. 22(4), pages 817-834, August.
    7. Socha, Karolina Z. & Bech, Mickael, 2011. "Physician dual practice: A review of literature," Health Policy, Elsevier, vol. 102(1), pages 1-7, September.
    8. Jain, Sanjay & George, Gerard & Maltarich, Mark, 2009. "Academics or entrepreneurs? Investigating role identity modification of university scientists involved in commercialization activity," Research Policy, Elsevier, vol. 38(6), pages 922-935, July.
    9. Parhankangas, Annaleena & Arenius, Pia, 2003. "From a corporate venture to an independent company: a base for a taxonomy for corporate spin-off firms," Research Policy, Elsevier, vol. 32(3), pages 463-481, March.
    10. David M. Cutler, 2011. "Where Are the Health Care Entrepreneurs? The Failure of Organizational Innovation in Health Care," Innovation Policy and the Economy, University of Chicago Press, vol. 11(1), pages 1-28.
    11. Benjamin L. Hallen & Susan L. Cohen & Christopher B. Bingham, 2020. "Do Accelerators Work? If So, How?," Organization Science, INFORMS, vol. 31(2), pages 378-414, March.
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