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Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors

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

Authors

Graeme Martin

Sabina Siebert



Abstract

Recent literature on hybridity has provided useful insights into how professionals have responded to changing institutional logics. Our focus in on how shifting logics have shaped senior medical professionals’ identity motives and identity work in a qualitative study of hospital consultants in the UK NHS. We found a binary divide between a large category of traditionalist doctors who reject shifting logics, and a much smaller category of incorporated consultants who broadly accept shifting logics and advocate change, with little evidence of significant ambivalence or temporary identity ‘fixes’ associated with liminality. By developing a new inductively-generated framework, we show how the identity motives and identity work of these two categories of doctors differ significantly. We explore the underlying causes of these differences, and the implications they hold for theory and practice in medical professionalism, medical professional leadership and healthcare reform.

Journal Article Type Article
Acceptance Date Nov 6, 2019
Online Publication Date Jan 24, 2020
Publication Date 2021-09
Deposit Date Nov 12, 2019
Publicly Available Date Nov 25, 2019
Journal Organization Studies
Print ISSN 0170-8406
Electronic ISSN 1741-3044
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 42
Issue 9
Pages 1477-1499
DOI https://doi.org/10.1177/0170840619895871
Keywords Doctors’ professional identities, hybrid organizations, identity motives, identity work, senior professionals
Public URL http://researchrepository.napier.ac.uk/Output/2314221

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Copyright Statement
This is an pre-publication version that has been accepted for publication in Organization Studies.






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