Logic conflicts in community-based palliative care

Vijay, D., Whitelaw, S. and Clark, D. (2021) Logic conflicts in community-based palliative care. Progress in Palliative Care, 29(3), pp. 149-155. (doi: 10.1080/09699260.2020.1817691)

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Community-based palliative care services and their integration with public health systems are of considerable contemporary interest. However, the conflicts that emerge in such a complex organizational field comprising multiple stakeholders with diverse interests remain under-examined. Our analysis of community-based palliative care in Kerala identifies four ‘logic conflicts’ that indicate competing frames of reference in an organizational field. These conflicts shape decision-making and coordination and manifest as: 1) professional versus community logics, 2) centralized versus decentralized governance logics, 3) generalist versus specialist care logics, 4) charity versus rights-based logics. We also identify two mechanisms – forming coalitions and fostering plurality – by which actors manage these conflicting logics. We discuss contributions to public health palliative care conversations and implications for nurturing and sustaining care communities.

Item Type:Articles
Additional Information:This work was supported by Scottish Funding Council.
Glasgow Author(s) Enlighten ID:Clark, Professor David and Whitelaw, Dr Alexander
Authors: Vijay, D., Whitelaw, S., and Clark, D.
College/School:College of Social Sciences > School of Social & Environmental Sustainability
Journal Name:Progress in Palliative Care
Publisher:Taylor & Francis
ISSN (Online):1743-291X
Published Online:27 October 2020

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