Best of Both Worlds; Comment on "(Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare"

Research output: Contribution to journalArticlepeer-review

Colleges, School and Institutes


This article builds on Mannion and Exworthy's account of the tensions between standardization and customization within health services to explore why these tensions exist. It highlights the limitations of explanations which root them in an expression of managerialism versus professionalism and suggests that each logic is embedded in a set of ontological, epistemological and moral commitments which are held in tension. At the front line of care delivery, people cannot resolve these tensions but must navigate and negotiate them. The legitimacy of a health system depends on its ability to deliver the 'best of both worlds' to citizens, offering the reassurance of sameness and the dignity of difference.


Original languageEnglish
Article number11
Pages (from-to)356-358
Number of pages3
JournalInternational Journal of Health Policy and Management
Issue number4
Early online date16 Aug 2017
Publication statusPublished - Apr 2018


  • Delivery of Health Care, Humans, Logic, Negotiating, standardization, customization, personalization, phronesis