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dc.contributor.authorTracey, Paulen
dc.contributor.authorGeorge, Gen
dc.date.accessioned2016-02-17T15:00:00Z
dc.date.available2016-02-17T15:00:00Z
dc.date.issued2017-04en
dc.identifier.citationAcademy of Management Journal 2016en
dc.identifier.issn0001-4273
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/253824
dc.description.abstractWe investigate how established professionals manage their identities in the face of identity threats from a contested shift in the professional logic that characterizes their field. To do so, we draw on interviews with 113 physicians from five European transition countries who faced pressure for change in their professional identities due to a shift in the logic of healthcare from a logic of "narrow specialism" in primary care that characterized the Soviet health system to a new logic of "generalism" that characterizes primary care in the West. We found three important forms of professional identity threats experienced by physicians during this period - professional values conflict, status loss, and social identity conflict. In addition, we identified three forms of identity work - authenticating, reframing, and cultural repositioning - that the professionals who successfully transitioned to the new identity performed in order to reconstruct their professional identities so that they were aligned with the new logic. Based on these findings, we present a model of how established professionals change their professional identities as a result of a contested shift in the professional logic of their field and discuss the underlying mechanisms through which this occurs.
dc.language.isoenen
dc.titleHealth systems in transition: professional identity work in the context of shifting institutional logicsen
dc.typeArticle
dc.provenanceOA-7082
prism.endingPage641
prism.issueIdentifier2en
prism.publicationDate2017en
prism.publicationNameAcademy of Management Journalen
prism.startingPage610
prism.volume60en
dc.rioxxterms.funderESRC
dc.rioxxterms.projectidRES-051-27-0321
rioxxterms.versionofrecord10.5465/amj.2013.0684en
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2017-04en
dc.contributor.orcidTracey, Paul [0000-0002-5877-9817]
dc.identifier.eissn1948-0989
rioxxterms.typeJournal Article/Reviewen
cam.issuedOnline2016-02-22en


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