From Agents to Principles: The Changing Relationship between Hospitalist Identity and Logics of Health care

William C Ocasio, Vanessa Pouthier, Christopher W.J. Steele

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Institutional logics and collective identities are closely intertwined: logics shape the emergence and evolution of identities, which in turn play a crucial role in mediating the influence of the logics themselves. Though there exists a significant body of research on the intersection of the two phenomena, relatively little attention has been given to changes in the strength, content, and permanence of particular logic–identity associations. In this paper we explore empirically the question of whether and how a logic and identity may become severed, through an inductive case study of the development of the hospitalist identity in health care in the United States. Based on this study, we propose a set of mechanisms through which the distancing of a logic and an identity may occur. We also discuss potential counterfactual outcomes, in order to build theory regarding the longitudinal relationship between logics and identities.

Original languageEnglish (US)
Title of host publicationInstitutional Logics in Action
EditorsMichael Lounsbury, Eva Boxenbaum
PublisherEmerald Group Publishing Ltd.
Pages203-241
Number of pages39
ISBN (Print)9781781909188
DOIs
StatePublished - 2013
Externally publishedYes

Publication series

NameResearch in the Sociology of Organizations
Volume39 Part A
ISSN (Print)0733-558X

Keywords

  • Institution
  • Institutional complexity
  • Institutional logic
  • Practice

ASJC Scopus subject areas

  • Sociology and Political Science
  • Organizational Behavior and Human Resource Management

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