Version 1
: Received: 30 October 2023 / Approved: 31 October 2023 / Online: 31 October 2023 (08:51:57 CET)
Version 2
: Received: 28 November 2023 / Approved: 29 November 2023 / Online: 29 November 2023 (11:09:33 CET)
How to cite:
Silva, T. M. R. D.; Rossoni, L. How Professional and Market Logics and the Conflict Between Institutional Demands Affect Hospital Accreditation Compliance. Preprints2023, 2023102041. https://doi.org/10.20944/preprints202310.2041.v1
Silva, T. M. R. D.; Rossoni, L. How Professional and Market Logics and the Conflict Between Institutional Demands Affect Hospital Accreditation Compliance. Preprints 2023, 2023102041. https://doi.org/10.20944/preprints202310.2041.v1
Silva, T. M. R. D.; Rossoni, L. How Professional and Market Logics and the Conflict Between Institutional Demands Affect Hospital Accreditation Compliance. Preprints2023, 2023102041. https://doi.org/10.20944/preprints202310.2041.v1
APA Style
Silva, T. M. R. D., & Rossoni, L. (2023). How Professional and Market Logics and the Conflict Between Institutional Demands Affect Hospital Accreditation Compliance. Preprints. https://doi.org/10.20944/preprints202310.2041.v1
Chicago/Turabian Style
Silva, T. M. R. D. and Luciano Rossoni. 2023 "How Professional and Market Logics and the Conflict Between Institutional Demands Affect Hospital Accreditation Compliance" Preprints. https://doi.org/10.20944/preprints202310.2041.v1
Abstract
Hospital accreditation has become ubiquitous in developing countries. Although studies recognize that accreditation can improve healthcare quality, efficiency, and safety, there are doubts about how hospitals deal with conflicts caused by the different institutional logics that inhabit this process. Therefore, this study aimed to investigate how professional and market logics, as well as the conflict between institutional demands, affect compliance with hospital accreditation. To this end, we developed a multiple case study in four Brazilian hospitals through in-depth interviews and on-site observation. The triangulation between the analysis of the narratives and the results of the multiple correspondence analysis showed that when professional logic is prominent, there is a greater tendency to customize activities, as there are conflicts in the means by which activities can be developed. When market logic stands out, there is a risk of non-conformity, mainly because the focus falls exclusively on goals. Finally, the data point to the absence of conflicts between justifications related to efficiency and legitimacy. We conclude the study by highlighting the theoretical and practical implications of recognizing the conflict between logics.
Keywords
hospital accreditation; institutional logics; organizational practices; strategic responses; institutional theory
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
