Sub-theme 55: Re-examining the Organization of Healthcare: Institutional, Technological and Clinical Challenges

Convenors:
Daniele Mascia, Catholic University of the Sacred Heart, Rome, Italy
Federica Angeli, Maastricht University, The Netherlands
Americo Cicchetti, Catholic University of the Sacred Heart, Rome, Italy
Session I: Thursday, July 02, 11:00 to 12:30, ART-AC-AUD
Technology and Innovation in Healthcare
Chair: Americo Cicchetti
Peter Tsasis, Michelle Wyndham-West and Mary Wiktorowicz
Emerging medical technologies and policy process: An ethnography of public health decision-making regarding HPV vaccine programming in Ontario, Canada
Discussant(s)Discussant(s): Laura Galuppo
Laura Galuppo, Mara Gorli, Elisa Giulia Liberati, Lorenzo Moja and Giuseppe Scaratti
Unpacking the process of healthcare technology uptake: A grounded theory study of the adoption of computerized decision support systems in Italian hospitals
Discussant(s)Discussant(s): Roxana Ologeanu-Taddei
Roxana Ologeanu-Taddei, David Morquin, Rodolphe Bourret and Hugues Domingo
Reflecting on a hospital information system adoption: Islets of enabling adoption inside a coercive system
Discussant(s)Discussant(s): Anja Svejgaard Pors
Anja Svejgaard Pors
Distributed responsibility in the digital era – Reorganizing relations between patients and professionals in the clinical encounter
Discussant(s)Discussant(s): Elisa Giulia Liberati
Session II: Thursday, July 02, 14:00 to 15:30
- Parallel Stream -
Parallel Stream A: Networks and Collaboration [Part 1] - Room: ART-AC-AUD
Chair: Daniele Mascia
Linda Pomeroy, Jane Hendy and James Barlow
The impact of antecedents and development approaches on inter-organisational networks in integrated healthcare delivery
Discussant(s)Discussant(s): Francesca Pallotti
Alessandro Lomi, Francesca Pallotti and Paola Zappa
Resource partitioning and the network structure of organizational communities
Discussant(s)Discussant(s): Fausto Di Vincenzo
Fausto Di Vincenzo, Valentina Evangelista and Francesca Masciarelli
Proximity effects on the dynamics of social capital: A mixed-methods approach
Discussant(s)Discussant(s): Linda Pomeroy
Parallel Stream B: Evolution of Managerial Roles and Practices - Room: ART-001
Chair: Americo Cicchetti
Mike Bresnen, Damian Hodgson, Simon Bailey, Paula Hyde and John Hassard
Institutional change and continuities in management practice and knowledge in UK healthcare
Discussant(s)Discussant(s): Sébastian Damart
Sébastien Damart and Sonia Adam-Ledunois
Mapping integrative managers profiles in healthcare organizations
Discussant(s)Discussant(s): Anna B. Holm
Anna B. Holm, Thomas Jønsson and John P. Ulhøi
Leadership distribution, professions and institutionalized practices during a major healthcare restructuring process
Discussant(s)Discussant(s): Jérôme Lartigau
Christelle Théron, Carole Bonnier, Jérôme Lartigau and Jérémy Morales
The rise of chief financial officers in public healthcare: Clinical and managerial challenges
Discussant(s)Discussant(s): Mike Bresnen
Session III: Thursday, July 02, 16:00 to 17:30
- Parallel Stream -
Parallel Stream A: Complexity and Institutional Logics [Part 1] - Room: ART-AC-AUD
Chair: Daniele Mascia
Andrea Carugati, Lapo Mola, Antonio Giangreco and João Vieira da Cunha
An institutionalisation story of a healthcare system: The case of the long-term care sector in Italy
Discussant(s)Discussant(s): Graham Martin
Graham Martin, Graeme Currie, Simon Weaver, Ruth Mcdonald and Rachael Finn
Constellations of logics, actor autonomy and change in institutionally complex fields
Discussant(s)Discussant(s): Olivier Baly
Olivier Baly, Frédéric Kletz and Jean-Claude Sardas
Designs of an organizational response to institutional complexity in healthcare: A focus group and statistical study of management control in French hospitals
Discussant(s)Discussant(s): Marco Bottura
Marco Bottura
Doctor who? Institutional change and general practitioners' role in the Italian primary care system
Discussant(s)Discussant(s): Andrea Carugati
Parallel Stream B: Managing Patient Centredness - Room: ART-001
Chair: Federica Angeli
Irene Gabutti
Exploring "patient-centered" organizational models in hospitals: A systematic review
Discussant(s)Discussant(s): Christian Gadolin
Christian Gadolin and Ewa Wikström
Healthcare teams in practice – Logistic flow and professional logics
Discussant(s)Discussant(s): Elisa Giulia Liberati
Elisa Giulia Liberati, Mara Gorli and Giuseppe Scaratti
Do multidisciplinary teams guarantee interdisciplinary work? Reflections from an ethnographic study
Discussant(s)Discussant(s): Matthew Kerry
Douglas Ander and Matthew Kerry
Conceptualization and preliminary findings of a self-report patient identity instrument for improving interprofessional care delivery
Discussant(s)Discussant(s): Irene Gabutti
Session IV: Friday, July 03, 09:00 to 10:30
- Parallel Stream -
Parallel Stream A: Complexity and Institutional Logics [Part 2]) - Room: ART-AC-AUD
Chair: Federica Angeli
Lorena Macnaughtan, Gerardo Patriotta, Lorraine Pinnington and Sujatha Raman
Plurality of institutional logics in digital healthcare: The rise of the hybrid patient
Discussant(s)Discussant(s): Tom Forbes
Robin Fincham and Tom Forbes
The role of micro-politics in shifting institutional logics: Language, knowledge and identity
Discussant(s)Discussant(s): Roman Kislov
Roman Kislov
New game, old rules? Legitimacy of boundary spanning in a healthcare knowledge mobilisation initiative
Discussant(s)Discussant(s): Lorena Macnaughtan
Parallel Stream B: Redefinition of Professional Identities in Healthcare [Part 1] - Room: ART-001
Chair: Daniele Mascia
Dimitrios Spyridonidis and Graeme Currie
The translation role of hybrid nurse middle managers in implementing clinical guidelines: Effect of and upon professional and managerial hierarchy
Discussant(s)Discussant(s): Emilie Gibeau
Emilie M. Gibeau
Introducing physicians in management roles: When boundary role holders are isolated
Discussant(s)Discussant(s): Annick Lepage
Fatou Bagayogo, Annick Lepage, Jean-Louis Denis, Lise Lamothe, Liette Lapointe and Isabelle Vedel
Managing older cancer patients: The emergence of a collaborative community
Discussant(s)Discussant(s): Jacques Orvain
Jacques J. Orvain, Mathias Waelli and Gilles Berrut
Interstitial management: Supporting patient's self-awareness
Discussant(s)Discussant(s): Dimitrios Spyridonidis
Session V: Friday, July 03, 14:00 to 15:30
- Parallel Stream -
Parallel Stream A: Networks and Collaboration [Part 2] - Room: ART-AC-AUD
Chair: Federica Angeli
Chiara D'Alise, Fabio Perrone, Paolo Bruttini and Roberto Dandi
Training as network intervention
Discussant(s)Discussant(s): Daan Westra
Daan Westra, Federica Angeli, Martin Carree and Dirk Ruwaard
Understanding specialist sharing: A mixed-method exploration in an increasingly price-competitive hospital market
Discussant(s)Discussant(s): Nassera Touati
Nassera Touati, Charo Rodriguez, Marie-Andree Paquette, Lara Maillet and Jean-Louis Denis
Professional role identity: At the heart of medical collaboration across organizational boundaries
Discussant(s)Discussant(s): Roberto Dandi
Parallel Stream B: Healthcare Changes, Outcomes and Behaviors - Room: ART-001
Chair: Americo Cicchetti
Roy K. Smollan
Who pays the price of change in healthcare?
Discussant(s)Discussant(s): Michel Devigne
Michel Devigne, Sébastien Damart and Frédéric Kletz
Unmanaging the expected: Mindlessness processes in health care organizations
Discussant(s)Discussant(s): Filomena Buonocore
Filomena Buonocore, Marcello Russo and Loriann Roberson
Consequences of gender identity threat in healthcare: An analysis of error-reporting behavior in a dynamic network system
Discussant(s)Discussant(s): Elisabeth Noehammer
Tobias Romeyke and Elisabeth Nöhammer
Effects of reimbursement systems on treatment outcome
Discussant(s)Discussant(s): Roy Smollan
Session VI: Saturday, July 04, 09:00 to 10:30
- Parallel Stream -
Parallel Stream A: Organizational Change and New Models - Room: ART-AC-AUD
Chair: Daniele Mascia
Maria Quinlan and Susi Geiger
The organisational challenge of connected health; a complex interplay of macro, meso and micro-level dynamics
Discussant(s)Discussant(s): Luca Giustiniano
Børge Obel, Luca Giustiniano, Anders Møllekær and Iben Duvald Pedersen
Modelling the emergency care system in Denmark: Reacting to institutional changes via a contingency approach
Discussant(s)Discussant(s): Guy Minguet
Guy Minguet
Streamling health care delivery between professions, the therapeutic chain and the technostructure: Case study of a quality improvement framework in the care of a rare disease
Discussant(s)Discussant(s): Maria Andri
Maria Andri and Olivia Kyriakidou
Using clinical guidelines and exercising autonomy in the labor process
Discussant(s)Discussant(s): Maria Quinlan
Parallel Stream B: Redefinition of Professional Identities in Healthcare [Part 2] - Room: ART-001
Chair: Federica Angeli
Mariam Krikorian
Professionalization in the workplace: Generalist and specialist selections of jurisdictional domains in daily practice
Discussant(s)Discussant(s): Kelly Thomson
Kelly Thomson and Maitreya Coffey
Saving the show: Microprocesses of dramaturgical cooperation in making organizational change work
Discussant(s)Discussant(s): Yiannis Kyratsis
Yiannis Kyratsis and Raheelah Ahmad
The co-construction of evidence in practice and in context – The sensegiver and sensemaker matter
Discussant(s)Discussant(s): Miriam Krikorian
Session VII: Saturday, July 04, 11:00 to 12:30, ART-AC-AUD
Entrepreneurship in Healthcare
Chair: Americo Cicchetti
Yun Su and Michelle Gittelman
The drive to commercialise: Understanding how academic scientists in the U.S. learn to commercialise biomedical discoveries and inventions
Discussant(s)Discussant(s): Nina Geilinger
Nina Geilinger, Stefan Haefliger and Fotini Pachidou
When the drugs don't work: Practices of institutional entrepreneurs for Alzheimer's disease treatment in Switzerland
Discussant(s)Discussant(s): Hsiu-Ping Lin
Shih-Chang Hung and Hsiu-Ping Lin
Institutional entrepreneurship in the health care sector: Taiwan's psychiatric clinics
Discussant(s)Discussant(s): Maximiliane Wilkesmann
Stephanie Ruesch, Maximiliane Wilkesmann and Maik Lachmann
Managerial challenges in non-profit hospitals. An empirical analysis of different types of entrepreneurial orientation and their strategic outcomes
Discussant(s)Discussant(s): Yun Su