Orchestration versus bookkeeping: How stakeholder pressures drive a healthcare purchaser's institutional logics.

ABSTRACT:

Background

Healthcare purchasers such as health insurers and governmental bodies are expected to strategically manage chronic care chains. In doing so, purchasers can contribute to the goal of improving task division and collaboration between chronic care providers as has been recommended by numerous studies. However, healthcare purchasing research indicates that, in most countries, purchasers still struggle to fulfil a proactive, strategic approach. Consequently, a typical pattern occurs in which care improvement initiatives are instigated, but not transformed into regular care. By acknowledging that healthcare purchasers are embedded in a care chain of stakeholders who have different, sometimes conflicting, interests and, by taking an institutional logics lens, we seek to explain

SUBMITTER: Noort BAC 

PROVIDER: S-EPMC8513887 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature