Best of Both Worlds; Comment on " (Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare"
Author(s):
Abstract:
This article builds on Mannion and Exworthys 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:
Language:
English
Published:
International Journal of Health Policy and Management, Volume:7 Issue: 4, Apr 2018
Pages:
356 to 358
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