T3 – Institutional Logics

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• Competing logics co-existing Institutional pluralism
• Medicine vs. market in healthcare Logic rivalry
• Physician expertise logic Professional logic
• Efficiency and cost logic Market logic
• Collaboration without replacement Coexistence
• Managing rivalry through interaction Collaborative management
• Separating medical and admin issues Differentiation
• Considering doctors’ input informally Respectful negotiation
• Alliances against government Temporary alignment
• Joint innovation projects Co-innovation
• Maintaining distinct identities Identity preservation
• Local practices influencing field Bottom-up change
• Cultural frameworks guiding action Institutional logics
• Socially constructed meaning systems Meaning structures
• Dual nature: symbolic & material Duality of logics
• Historical patterns of practice Institutional order
• Logic of market competition Market logic
• Logic of hierarchy & control Corporate logic
• Logic of expertise & profession Professional logic
• Logic of belonging & loyalty Community logic
• Each logic shapes identity & authority Logic influence
• Logics must be enacted to exist Performed logics
• Dynamic system allowing new logics Inter-institutional system
• Sustainability logic emerging New institutional logic
• Different logics → different models Logic enactment
• Same industry, different practices Logic diversity
• Imitation blocked by legitimacy rules Legitimacy boundary
• Community logic → cooperation focus Community logic
• Corporate logic → growth and scale Corporate logic
• Market logic → profitability focus Market logic
• Profit as means, not goal Social orientation
• Shared values prevent imitation Normative constraint
• Different identities, same field Segmented field
• Business models shaped by culture Logic-based design
• Legitimacy over efficiency Institutional legitimacy
• Competing logics prevent convergence Anti-imitation effect

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