Lógicas Institucionais na Mensuração e Gestão de Custos em Hospitais Acreditados

Silva, Beatriz Negrelli da; Abbas, Kátia

doi:10.51341/1984-3925_2021v24n3a6

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…This literature maintains that the certification process, in addition to seeking to improve quality and productivity, which refers to reasons related to efficiency, also seeks to signal that the organization meets the criteria socially required by the audience [35]. Hospital accreditation processes would be no different [2,22].…”

Section: Hospital Accreditation As An Institutional Standardmentioning

confidence: 99%

How Professional and Market Logics and the Conflict Between Institutional Demands Affect Hospital Accreditation Compliance

Silva,

Rossoni

2023

Preprint

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Background: Hospital accreditation has become ubiquitous in developing countries. Although studies recognize that accreditation can improve healthcare quality, efficiency, and safety, there are doubts about how hospitals deal with conflicts caused by the different institutional logics that inhabit this process. Therefore, this study aimed to investigate how professional and market logics, as well as the conflict between institutional demands, affect compliance with hospital accreditation. Methods: To this end, we developed a multiple case study in four Brazilian hospitals through in-depth interviews with sixteen participants (managers, physicians, nurses, physiotherapist) and on-site observation by the triangulation between the analysis of the narratives and the results of the multiple correspondence analysis. The interpretation and subsequent categorization of the interviews were guided by the study's analytical categories: institutional logics (professional and market); adoption objectives (legitimacy and efficiency); strategic responses to adoption (conformity, non-conformity, and customization); nature of demands (origin in the means and in goal). Results. The data showed that when professional logic is prominent, there is a greater tendency to customize activities, as there are conflicts in the means by which activities can be developed. When market logic stands out, there is a risk of non-conformity, mainly because the focus falls exclusively on goals. Finally, the data point to the absence of conflicts between justifications related to efficiency and legitimacy. Conclusion. We conclude the study by highlighting the theoretical and practical implications of recognizing the conflict between logics, contributing to a deeper understanding of how logic influences the attention given to specific demands and, more significantly, how they affect compliance with hospital accreditation standards, expanding the body of knowledge in the area.

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Section: Hospital Accreditation As An Institutional Standardmentioning

confidence: 99%