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

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@article{a5878fb86a034076ac22d4bc84400445,
title = "Best of Both Worlds; Comment on {"}(Re) Making the Procrustean Bed?: Standardization and Customization as Competing Logics in Healthcare{"}",
abstract = "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.",
keywords = "Delivery of Health Care, Humans, Logic, Negotiating, standardization, customization, personalization, phronesis",
author = "Catherine Needham",
note = "{\textcopyright} 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.",
year = "2018",
month = apr,
doi = "10.15171/ijhpm.2017.99",
language = "English",
volume = "7",
pages = "356--358",
journal = "International Journal of Health Policy and Management",
issn = "2322-5939",
publisher = "Kerman University of Medical Sciences",
number = "4",

}

RIS

TY - JOUR

T1 - Best of Both Worlds; Comment on "(Re) Making the Procrustean Bed?

T2 - Standardization and Customization as Competing Logics in Healthcare"

AU - Needham, Catherine

N1 - © 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

PY - 2018/4

Y1 - 2018/4

N2 - 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.

AB - 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.

KW - Delivery of Health Care

KW - Humans

KW - Logic

KW - Negotiating

KW - standardization

KW - customization

KW - personalization

KW - phronesis

U2 - 10.15171/ijhpm.2017.99

DO - 10.15171/ijhpm.2017.99

M3 - Article

C2 - 29626405

VL - 7

SP - 356

EP - 358

JO - International Journal of Health Policy and Management

JF - International Journal of Health Policy and Management

SN - 2322-5939

IS - 4

M1 - 11

ER -