Abstract
This chapter investigates four institutional logics that influence the health care field – public, private, nonprofit, and for-profit – and how these logics affect the multiple layers and issues of trust inherent in health care. Pairings of these logics demonstrate a historical progression in the US health care field, from an era of professional involvement following World War II (Scott et al. Institutional change and healthcare organizations: from professional dominance to managed care. Chicago, IL: University of Chicago Press, 2000) and characterized by a private nonprofit logic, to an era of federal involvement beginning in 1965 and characterized by a public nonprofit logic, to an era of managerial control in market mechanisms, beginning in the early 1980s and characterized by a private for-profit logic. Whether or not we are entering a fourth stage – an era characterized by a public for-profit logic – is considered, as well as this logic’s implications for restoring trust in the US health care system. The chapter ends with a discussion of potential directions for future research.
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Caronna, C.A. (2011). Clash of Logics, Crisis of Trust: Entering the Era of Public For-Profit Health Care?. In: Pescosolido, B., Martin, J., McLeod, J., Rogers, A. (eds) Handbook of the Sociology of Health, Illness, and Healing. Handbooks of Sociology and Social Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7261-3_13
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