Changing Logics in Healthcare and Their Effects on the Identity Motives and Identity Work of Doctors
通过研究英国国家医疗服务体系中的高级医生，发现传统主义者和被同化顾问两类医生对制度逻辑变迁的反应截然不同，前者拒绝而后者接受，且身份动机与身份工作存在显著差异。
Recent literature on hybridity has provided useful insights into how professionals have responded to changing institutional logics. Our focus is on how shifting logics have shaped senior medical professionals’ identity motives and identity work in a qualitative study of hospital consultants in the United Kingdom’s National Health Service. 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.