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How Professional and Market Logics and the Conflict between Institutional Demands Affect Hospital Accreditation Compliance: A Multiple-Case Study in Brazil.
- Source :
- Healthcare (2227-9032); May2024, Vol. 12 Issue 9, p914, 23p
- Publication Year :
- 2024
-
Abstract
- Hospital accreditation has become ubiquitous in developing countries. While research acknowledges that accreditation can enhance healthcare quality, efficiency, and safety, concerns persist regarding hospitals' management of conflicts stemming from the diverse institutional logic inherent in this process. Therefore, this study aimed to investigate how professional and market logic, alongside conflicts arising from institutional demands, affect compliance with hospital accreditation. To this end, we conducted a multiple-case study in four Brazilian hospitals employing in-depth interviews and on-site observations. The triangulation of narrative analysis and the outcomes of multiple correspondence analysis revealed that when professional logic predominates, there is a greater propensity to tailor accredited activities by segmenting the tasks between physicians and nurses with the intention of mitigating existing conflicts. Conversely, when conflicts occur over established goals between professionals and orientated marked logic executives, the accreditation process is impeded, resulting in non-compliance. Ultimately, the findings underscore the alignment between the pursuit of legitimacy and efficiency within the accreditation process. We conclude by delineating the theoretical and practical implications of scrutinizing the internal dynamics of institutional logic. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACCREDITATION
HEALTH services administration
MEDICAL protocols
HEALTH facility administration
RESEARCH funding
INTERVIEWING
RESEARCH evaluation
HOSPITALS
PROFESSIONS
HEALTH services administrators
NURSE-physician relationships
CONCEPTUAL structures
FIELD research
REGULATORY approval
DATA analysis software
RULES
LEGAL compliance
CONFLICT management
MEDICAL practice
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 12
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 177180282
- Full Text :
- https://doi.org/10.3390/healthcare12090914