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Table 2 Clinical pathway and institutional logics

From: Organizing as negotiation: the construction of a pathway in Norwegian mental health services

Characteristic Mental health professional/ patient logic Political logic
Material Practice EBM & standardization interfering with discretion, making it hard to provide correct patient treatment CP secures correct and best practice execution of services
Assumption CP is unsuitable for Mental health care services because each patient needs individual care CP is the solution to capacity problems, unwanted variation, and inefficient treatment
Values CP collides with discretion and autonomy CP secures control, effiency and quality
Beliefs CP is only concerned with efficiency and cost reduction, making patient care and recovery harder CP will improve the services
Rules CP opposes professional values: Humanity (patients), care (services), knowledge and autonomy CP requires rules and standards to be monitored and controlled