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Interacting institutional logics in general dental practice

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  • Harris, Rebecca
  • Holt, Robin

Abstract

We investigate the organisational field of general dental practice and how agents change or maintain the institution of values associated with the everyday work of health care provision. Our dataset comprise archival literature and policy documents, interview data from field level actors, as well as service delivery level interview data and secondary data gathered (2011–12) from 16 English dental practices. Our analysis provides a typology of institutional logics (prevailing systems of value) experienced in the field of dental practice. Confirming current literature, we find two logics dominate how care is assessed: business-like health care and medical professionalism. We advance the literature by finding the business-like health care logic further distinguished by values of commercialism on the one hand and those of accountability and procedural diligence on the other. The logic of professionalism we also find is further distinguished into a commitment to clinical expertise and independence in delivering patient care on the one hand, and concerns for the autonomy and sustainability of a business enterprise on the other.

Suggested Citation

  • Harris, Rebecca & Holt, Robin, 2013. "Interacting institutional logics in general dental practice," Social Science & Medicine, Elsevier, vol. 94(C), pages 63-70.
    • Handle: RePEc:eee:socmed:v:94:y:2013:i:c:p:63-70
    DOI: 10.1016/j.socscimed.2013.05.038
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    References listed on IDEAS

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    1. Unknown, 1986. "Letters To You... From You," Choices: The Magazine of Food, Farm, and Resource Issues, Agricultural and Applied Economics Association, vol. 1(1), pages 1-1.
    2. Unknown, 1986. "Letters To You... From You," Choices: The Magazine of Food, Farm, and Resource Issues, Agricultural and Applied Economics Association, vol. 1(3), pages 1-9.
    3. Unknown, 1986. "Letters to You... From You," Choices: The Magazine of Food, Farm, and Resource Issues, Agricultural and Applied Economics Association, vol. 1(2), pages 1-10.
    4. Orton, James Douglas, 1997. "From inductive to iterative grounded theory: Zipping the gap between process theory and process data," Scandinavian Journal of Management, Elsevier, vol. 13(4), pages 419-438, December.
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    Cited by:

    1. Harris, Rebecca & Mosedale, Sarah & Garner, Jayne & Perkins, Elizabeth, 2014. "What factors influence the use of contracts in the context of NHS dental practice? A systematic review of theory and logic model," Social Science & Medicine, Elsevier, vol. 108(C), pages 54-59.
    2. Sean Hansen & A. James Baroody, 2020. "Electronic Health Records and the Logics of Care: Complementarity and Conflict in the U.S. Healthcare System," Information Systems Research, INFORMS, vol. 31(1), pages 57-75, March.
    3. Harris, Rebecca & Brown, Stephen & Holt, Robin & Perkins, Elizabeth, 2014. "Do institutional logics predict interpretation of contract rules at the dental chair-side?," Social Science & Medicine, Elsevier, vol. 122(C), pages 81-89.
    4. Laverty, Louise & Harris, Rebecca, 2018. "Can conditional health policies be justified? A policy analysis of the new NHS dental contract reforms," Social Science & Medicine, Elsevier, vol. 207(C), pages 46-54.
    5. Bernardi, Roberta & Wu, Philip F., 2022. "Online health communities and the patient-doctor relationship: An institutional logics perspective," Social Science & Medicine, Elsevier, vol. 314(C).

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