Table 2 Clinical pathway and institutional logics
From: Organizing as negotiation: the construction of a pathway in Norwegian mental health services
Characteristic | Mental health professional/ patient logic | Political logic |
|---|---|---|
Material Practice | EBM & standardization interfering with discretion, making it hard to provide correct patient treatment | CP secures correct and best practice execution of services |
Assumption | CP is unsuitable for Mental health care services because each patient needs individual care | CP is the solution to capacity problems, unwanted variation, and inefficient treatment |
Values | CP collides with discretion and autonomy | CP secures control, effiency and quality |
Beliefs | CP is only concerned with efficiency and cost reduction, making patient care and recovery harder | CP will improve the services |
Rules | CP opposes professional values: Humanity (patients), care (services), knowledge and autonomy | CP requires rules and standards to be monitored and controlled |