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

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