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Posted Wed, 22 Apr 2015 13:57:30
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*Please note this seminar is at Tavistock Place
Wednesday 29th April 6-7pm
'Some of us are looking at the stars: Constellations of institutional
logics and actor autonomy in sustaining healthcare innovations'
Professor Graham Martin, Leicester
Abstract: Recent research highlights how ‘institutional logics’—the
“socially constructed, historical pattern of material practices,
assumptions, values, beliefs, and rules by which individuals produce and
reproduce their material subsistence, organize time and space, and
provide meaning to their social reality” (Thornton & Ocasio, 1998)—can
offer opportunities for agency to enterprising actors in healthcare and
other organizational fields. In particular, attention has focused on the
‘constellation’ in which competing or complementary institutional logics
are arrayed; different constellations of the same set of logics have
been shown to have very different consequences for the degree of
autonomy afforded to actors. Less well understood, however, are
situations where the same constellation has divergent consequences for
different actors and organisations. This paper addresses this knowledge
gap, through a longitudinal, seven-year, comparative case study of the
trajectories of four ostensibly similar healthcare change initiatives. I
discuss the influence of three dominant institutional logics
(professional, market and corporate) in these divergent trajectories,
elucidating the role of social position of key actors in the initiatives
in rendering the constellation more or less facilitative of autonomous
action. The corporate logic constrained autonomy in two cases but
enabled autonomy in the other two. I propose that the constellations
in which logics are arranged are in part a consequence of micro- and
meso-level action within a field—constellations are realized ‘on the
ground’ as well as ‘in the sky’. This, I argue, has important
implications for how the relationship between structure and agency is
theorized in advancing the institutional logics approach in healthcare
and other fields.
Discussant: Dr Dimitrios Spyridonidis, Imperial College
After Dr Spyridonidis' response, we will open up the session for a
general discussion and follow this with a trip to a nearby pub.
Everyone is welcome to attend. So please join us for what should be a
very interesting evening.
*Venue*
London School of Hygiene and Tropical Medicine
Room G14 (Jerry Morris B)
15-17 Tavistock Place
London
WC1H9SH
Nearest train/tube stations: Russell Square, Euston and King's Cross
Contact:
Lorelei Jones [log in to unmask]
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