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- Title
How Professional and Market Logics and the Conflict between Institutional Demands Affect Hospital Accreditation Compliance: A Multiple-Case Study in Brazil.
- Authors
Silva, Tiago Martins Ramos da; Rossoni, Luciano
- 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.
- Subjects
BRAZIL; 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
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 9, p914
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12090914