Micro-level interactions of institutional logics: A research study in the Turkish healthcare field

This study aims to help unveil the micro-level implications of a macro-level government-led health transformation initiative in an already-established Turkish healthcare field by drawing attention to the role of institutional logics through the processes of change over time. This historical grounded theory study allowed the researcher to identify the catalog and associated characteristics of logics; namely, medical professionalism, state, business-like and rogue logics, that are available to the ground-level actors, and the great deal of professional discretion they use in the selection of which logic(s) to employ under which circumstances. While institutional theory presupposes that professionals, based on their strong professional ties, orientation, socialization and education, show close attachment to their professional or 'home' logics, the researcher, in this study, contributes to the institutional logics theory by providing evidence that they may stray from their home logics and draw from a repertoire of logics that are available to them or become slaves of a rogue logic they themselves create based on the their immediate interests and purposes. Unraveling the micro-level practices of ground level actors as they pertain to different logical orientations substantially advances our understanding of how and under what conditions certain or various combinations of institutional logics are employed during day-to-day activities. Keywords: Institutional logics, institutional change, Turkish healthcare field, micro-level change, ground-level practices