Devoloping an ideal institutional logics typology and a conceptual framework for Turkish healthcare field: A qualitative study

The research was designed on the physicians working in private hospitals contracted by SGK in Turkish healthcare field in order to investigate how institutional logics enacted in the daily activities of individuals. In this context, some assumptions have been made. (a) There are multiple institutional logics in the Turkish healthcare field (Meydan and Yasit, 2015; Gürses and Danışman, 2017; Özseven, 2020); (b) these instutional logics expand the physician's behavioral repertoire (Friedland & Alford, 1991; Thronton et al., 2012; Reay et al., 2017); (c) the physician has a "toolkit" (Swidler, 1986; McPherson & Sauder, 2013) that includes professional logic as well as other institutional logics available in the field; (d) physician is able to carry out its daily activities by choosing one of the cognitive frames prescribed by non-home institutional logics, not always professional logic as home logic (Godrick and Reay, 2011; McPherson and Sauder, 2013; Currie and Spyridonidis (2016)). Thus, it is assumed that each institutional logic will prescribe a behavior to the physician in the diagnosis-treatment planning decision process. It is assumed that which of these prescriptions the physician chooses is situational. It is stated that it in the research of Meydan et al. (2020); this choice of the physician can be explained by three situational factors: (a) the way the physician is affiliated with the organization, (b) the wage regime and (c) the status of the patient in terms of meeting health expenses. Thus, in this sudy, a conceptual model proposal has been developed regarding the conditions under which the physician can pick an istutional logic from the existing "toolkit" depending on situational factors. The institutional logics in the behavioral repertoire of the physician are determined by a literature review in the Turkish healthcare area; situational factors are determined by conducting a documentation analysis and interviews in separate stages for each. Accordingly, by grouping various variations of situational factors, suggestions have been developed about the relative positions of institutional logics in an institutional logic constellation that guide physician behavior. Keywords: Multiple institutional logics, micro level institutional logics, Turkish healthcare field, private hospitals, physicians, situational factors (contingency factors)