(Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare

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@article{69e9607135f54791b39dd576316a211d,
title = "(Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare",
abstract = "Recent years have witnessed a parallel and seemingly contradictory trend towards both the standardization and the customization of healthcare and medical treatment. Here, we explore what is meant by {\textquoteleft}standardization{\textquoteright} and {\textquoteleft}customization{\textquoteright} in healthcare settings and explore the implications of these changes for healthcare delivery. We frame the paradox of these divergent and opposing factors in terms of institutional logics – the socially constructed rules, practices and beliefs which perpetuate institutional behaviour. As the tension between standardization and customization is fast becoming a critical fault-line within many health systems, there remains an urgent need for more sustained work exploring how these competing logics are articulated, adapted, resisted and co-exist on the front line of care delivery.",
keywords = "standardization , customization , personalization , competing logics",
author = "Russell Mannion and Mark Exworthy",
year = "2017",
month = mar
day = "28",
doi = "10.15171/ijhpm.2017.35",
language = "English",
journal = "International Journal of Health Policy and Management",
issn = "2322-5939",
publisher = "Kerman University of Medical Sciences",

}

RIS

TY - JOUR

T1 - (Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare

AU - Mannion, Russell

AU - Exworthy, Mark

PY - 2017/3/28

Y1 - 2017/3/28

N2 - Recent years have witnessed a parallel and seemingly contradictory trend towards both the standardization and the customization of healthcare and medical treatment. Here, we explore what is meant by ‘standardization’ and ‘customization’ in healthcare settings and explore the implications of these changes for healthcare delivery. We frame the paradox of these divergent and opposing factors in terms of institutional logics – the socially constructed rules, practices and beliefs which perpetuate institutional behaviour. As the tension between standardization and customization is fast becoming a critical fault-line within many health systems, there remains an urgent need for more sustained work exploring how these competing logics are articulated, adapted, resisted and co-exist on the front line of care delivery.

AB - Recent years have witnessed a parallel and seemingly contradictory trend towards both the standardization and the customization of healthcare and medical treatment. Here, we explore what is meant by ‘standardization’ and ‘customization’ in healthcare settings and explore the implications of these changes for healthcare delivery. We frame the paradox of these divergent and opposing factors in terms of institutional logics – the socially constructed rules, practices and beliefs which perpetuate institutional behaviour. As the tension between standardization and customization is fast becoming a critical fault-line within many health systems, there remains an urgent need for more sustained work exploring how these competing logics are articulated, adapted, resisted and co-exist on the front line of care delivery.

KW - standardization

KW - customization

KW - personalization

KW - competing logics

U2 - 10.15171/ijhpm.2017.35

DO - 10.15171/ijhpm.2017.35

M3 - Article

JO - International Journal of Health Policy and Management

JF - International Journal of Health Policy and Management

SN - 2322-5939

ER -