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Do institutional logics predict interpretation of contract rules at the dental chair-side?

Harris R, Brown S, Holt R, Perkins E - Soc Sci Med (2014)

Bottom Line: Previous research on quasi-market contracts typically understands opportunism as fully rational, individual responses selecting maximally efficient outcomes from a set of possibilities.Following earlier qualitative work where we identified four institutional logics in English general dental practice, and six dental contract areas where there was scope for opportunism; in 2013 we surveyed 924 dentists to investigate these logics and whether they had predictive purchase over dentists' chair-side behaviour.Factor analysis involving 300 responses identified four logics entwined in (often technical) behaviour: entrepreneurial commercialism, duty to staff and patients, managerialism, public good.

View Article: PubMed Central - PubMed

Affiliation: Institute Psychology, Health and Society, University of Liverpool, UK. Electronic address: harrisrv@liverpool.ac.uk.

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Interaction between dentists' negative experiences with commissioners and entrepreneurial commercialism predicting avoidance of high cost patients.
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fig1: Interaction between dentists' negative experiences with commissioners and entrepreneurial commercialism predicting avoidance of high cost patients.


Do institutional logics predict interpretation of contract rules at the dental chair-side?

Harris R, Brown S, Holt R, Perkins E - Soc Sci Med (2014)

Interaction between dentists' negative experiences with commissioners and entrepreneurial commercialism predicting avoidance of high cost patients.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4232309&req=5

fig1: Interaction between dentists' negative experiences with commissioners and entrepreneurial commercialism predicting avoidance of high cost patients.
Bottom Line: Previous research on quasi-market contracts typically understands opportunism as fully rational, individual responses selecting maximally efficient outcomes from a set of possibilities.Following earlier qualitative work where we identified four institutional logics in English general dental practice, and six dental contract areas where there was scope for opportunism; in 2013 we surveyed 924 dentists to investigate these logics and whether they had predictive purchase over dentists' chair-side behaviour.Factor analysis involving 300 responses identified four logics entwined in (often technical) behaviour: entrepreneurial commercialism, duty to staff and patients, managerialism, public good.

View Article: PubMed Central - PubMed

Affiliation: Institute Psychology, Health and Society, University of Liverpool, UK. Electronic address: harrisrv@liverpool.ac.uk.

Show MeSH