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Cited by 53Health Services Management and PolicyManagement and Organizational StudiesPrimary Care and Health Outcomes

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Competing and coexisting logics in the changing field of English general medical practice

McDonald, Ruth, Cheraghi-Sohi, Sudeh, Bayes, Sara, Morriss, Richard, Kai, Joe·2013·Social Science & Medicine
DOI 10.1016/j.socscimed.2013.06.010
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Abstract

Recent reforms, which change incentive and accountability structures in the English National Health Service, can be conceptualised as trying to shift the dominant institutional logic in the field of primary medical care (general medical practice) away from medical professionalism towards a logic of "population based medicine". This paper draws on interviews with primary care doctors, conducted during 2007-2009 and 2011-2012. It contrasts the approach of active management of populations, in line with recent reforms with responses to patients with medically unexplained symptoms. Our data suggest that rather than one logic becoming dominant, different dimensions of organisational activity reflect different logics. Although some aspects of organisational life are relatively untouched by the reforms, this is not due to 'resistance' on the part of staff within these organisations to attempts to 'control' them. We suggest that a more helpful way of understanding the data is to see these different aspects of work as governed by different institutional logics.

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Crossref · 10.1016/j.socscimed.2013.06.010

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1 of 1 references verified0 citation errors · 0 not checkable

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Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The results are representative of FAs in general.

    “Although only a low proportion of FAs and NAs responded to the study, there is enough similarity with anonymized record-based studies involving other varied practice samples ( 6 , 8 , 9 , 23 , 24 ) to believe that our results are representative of FAs in general.”

    From Clinical characteristics of persistent frequent attenders in primary care: Case-control study (2015) · cites this paper as [6]

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 26

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  2. Bolton, 2009, Beyond the control-resistance debate, Qualitative Research in Accounting and Management, 6, 5, 10.1108/11766090910940629 · DOI
  3. Brown, 2011, The concept of the lifeworld as a tool in analysing healthcare work, Social Theory and Health, 9, 147, 10.1057/sth.2011.3 · DOI
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  5. Checkland, 2007, Ticking boxes and changing the social world: data collection and the new UK general practice contract, Social Policy & Administration, 41, 693, 10.1111/j.1467-9515.2007.00580.x · DOI
  6. Currie, 2012, Institutional work to maintain professional power: recreating the model of medical professionalism, Organization Studies, 33, 937, 10.1177/0170840612445116 · DOI · Paper page
  7. DiMaggio, 1983, The iron cage revisited – institutional isomorphism and collective rationality in organizational fields, American Sociological Review, 48, 147, 10.2307/2095101 · DOI · Paper page
  8. Doran, 2011, Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework, British Medical Journal, d3590, 10.1136/bmj.d3590 · DOI · Paper page
  9. Dowrick, 2008, General practitioners' views on reattribution for patients with medically unexplained symptoms: a questionnaire and qualitative study, BMC Family Practice, 9, 46, 10.1186/1471-2296-9-46 · DOI
  10. Dunn, 2010, Institutional logics and institutional pluralism: the contestation of care and science logics in medical education, 1967–2005, Administrative Science Quarterly, 55, 114, 10.2189/asqu.2010.55.1.114 · DOI
  11. Goodrick, 2011, Constellations of institutional logics: changes in the professional work of pharmacists, Work and Occupations, 38, 372, 10.1177/0730888411406824 · DOI
  12. Gravelle, 2010, Doctor behaviour under a pay for performance contract: evidence from the quality and outcomes framework, Economic Journal, 120, F129, 10.1111/j.1468-0297.2009.02340.x · DOI
  13. Greenwood, 2010, The multiplicity of institutional logics and the heterogeneity of organizational responses, Organization Science, 21, 521, 10.1287/orsc.1090.0453 · DOI
  14. Hatcher, 2008, Assessment and management of medically unexplained symptoms, British Medical Journal, 336, 1124, 10.1136/bmj.39554.592014.BE · DOI
  15. Heath, 2007, QOF: measuring performance, missing the point?, British Medical Journal, 335, 1075, 10.1136/bmj.39377.387373.AD · DOI
  16. Mangin, 2007, The quality and outcomes framework: what have you done to yourselves?, British Journal of General Practice, 57, 435
  17. McDonald, 2009, Practice nurses and the effects of the new general practitioner contract in the English National Health Service: the extension of a professional project?, Social Science & Medicine, 68, 1206, 10.1016/j.socscimed.2009.01.039 · DOI
  18. McDonald, 2009, Rethinking collegiality: restratification in English general medical practice 2004–2008, Social Science & Medicine, 68, 1199, 10.1016/j.socscimed.2009.01.042 · DOI
  19. McDonald, 2007, Impact of financial incentives on clinical autonomy and internal motivation in primary care: an ethnographic study, British Medical Journal, 334, 1357, 10.1136/bmj.39238.890810.BE · DOI
  20. Meyer, 1983, Institutional organizations: formal structure as myth and ceremony, American Journal of Sociology, 83, 340, 10.1086/226550 · DOI · Paper page
  21. Morris, 2012, Persistent frequent attenders in primary care costs, reasons for attendance, organisation of care and potential for cognitive behavioural therapeutic intervention, BMC Family Practice, 6, 13
  22. Numerato, 2012, The impact of management on medical professionalism: a review, Sociology of Health & Illness, 34, 626, 10.1111/j.1467-9566.2011.01393.x · DOI
  23. Roland, 2004, Linking physician pay to quality of care: a major experiment in the UK, New England Journal of Medicine, 351, 1448, 10.1056/NEJMhpr041294 · DOI · Paper page
  24. Salmon, 2007, Primary care consultations about medically unexplained symptoms, Psychosomatic Medicine, 69, 571, 10.1097/PSY.0b013e3180cabc85 · DOI
  25. Scott, 2008, Professions as institutional agents, Organization Studies, 29, 219, 10.1177/0170840607088151 · DOI · Paper page
  26. Tovey, 2001, Primary care as intersecting social worlds, Social Science & Medicine, 52, 695, 10.1016/S0277-9536(00)00179-9 · DOI

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Metadata

Authors
McDonald, R., Cheraghi-Sohi, S., Bayes, S., Morriss, R., & Kai, J.
Affiliations
University of Nottingham (GB)
Corresponding author
McDonald, Ruth
ORCID
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
2013-09
Volume
93
Pages
47-54
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/j.socscimed.2013.06.010
OpenAlex
W1980663548
Cited by
53
References
1
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 6 · 2017: 1 · 2016: 6 · 2015: 10 · 2014: 7
FWCI
13.83
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
Funders
  • NIHR SDO
  • CLAHRC NDL
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Management and Organizational Studies
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords
institutional logics, general practice, primary care reform, National Health Service, medical professionalism, medically unexplained symptoms, competing logics, primary care physicians, organizational change
MeSH terms
England, Humans, Logic, National Health Programs, Primary Health Care, Health Care Reform, Qualitative Research, Physicians, Primary Care

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