Skip to main content

Research Repository

Advanced Search

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

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


Graeme Martin

Sabina Siebert


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
Keywords Doctors’ professional identities, hybrid organizations, identity motives, identity work, senior professionals
Public URL


Changing Logics In Healthcare And Their Effects On The Identity Motives And Identity Work Of Doctors (226 Kb)

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

You might also like

Downloadable Citations