1. Logic Conflicts in Community-Based Palliative Care.
- Author
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Vijay, Devi, Whitelaw, Sandy, and Clark, David
- Subjects
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INSTITUTIONAL cooperation , *CLINICAL governance , *PUBLIC relations , *ATTITUDE (Psychology) , *STAKEHOLDER analysis , *COMMUNITY health services , *COMMUNITY support , *PUBLIC health , *MEDICAL personnel , *CONFLICT management , *INTERPROFESSIONAL relations , *COMMUNICATION , *QUALITY assurance , *DECISION making , *INTEGRATED health care delivery , *PALLIATIVE treatment - Abstract
Community-based palliative care services and their integration with public health systems are of considerable contemporary interest. However, the conflicts that emerge in such a complex organizational field comprising multiple stakeholders with diverse interests remain under-examined. Our analysis of community-based palliative care in Kerala identifies four 'logic conflicts' that indicate competing frames of reference in an organizational field. These conflicts shape decision-making and coordination and manifest as: 1) professional versus community logics, 2) centralized versus decentralized governance logics, 3) generalist versus specialist care logics, 4) charity versus rights-based logics. We also identify two mechanisms – forming coalitions and fostering plurality – by which actors manage these conflicting logics. We discuss contributions to public health palliative care conversations and implications for nurturing and sustaining care communities. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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