Who will lead the physicians unwilling to lead? Institutional logics and double-bind situations in health care leadership

摘要

Purpose - Health care organizations are increasingly demanded to balance the institutional logic of "medical professionalism" and "business-like health care," that is, to both recognize physicians' professional expertise while locating it in a wider social, economic, and political organizational setting. The purpose of this paper is to examine the implications from this shift in terms of leadership work in health care organizations.