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How do Elite Doctors Respond to Tensions in Hybrid Healthcare Organizations?

Martin, Graeme; Siebert, Sabina; Howieson, Brian; Bushfield, Stacey


Graeme Martin

Sabina Siebert


In this paper we explain how and why elite doctors in public service healthcare respond to increasing hybridity through different forms of identity work, accommodation and resistance. We draw on a conceptual framework developed by Besharov and Smith and on research into identity work to explain how senior hospital doctors have become increasingly differentiated in their responses to multiple logics. Our analysis produces three contributions to the study of professions in healthcare. Firstly, based on their responses to hybridity, we identified four distinct groups of elite doctors. Secondly, we found that a new generation of doctors have been more able to assimilate multiple logics into their identities than earlier generations. Although tensions may be reduced as later career doctors leave the labour force, we argue that they are unlikely to disappear because the notion of an 'authentic' identity of medical professionalism is embedded in the social identities of doctors. Thirdly, we problematize the notion of hybrid professional leaders as a form of reprofessionalization. In contrast to earlier literature, our research indicates that doctors resist hybrid medical leadership and subscribe to the notion of elitism defined largely by 'who they are definitely not'.

Presentation Conference Type Conference Paper (Published)
Conference Name Academy of Management Proceedings 2017
Start Date Aug 4, 2017
Acceptance Date Jun 1, 2017
Online Publication Date Nov 30, 2017
Publication Date 2017-08
Deposit Date Aug 20, 2019
Publicly Available Date Aug 21, 2019
Journal Academy of Management Proceedings
Print ISSN 0065-0668
Electronic ISSN 2151-6561
Publisher Academy of Management
Peer Reviewed Peer Reviewed
Volume 2017
Issue 1
Pages 11574
Series Title Academy of Management Proceedings
Series ISSN 0065-0668
Keywords elite professionals, hybrid organizations, doctors’ social identities, hybrid leaders, logic multiplicity
Public URL
Contract Date Aug 21, 2019


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