Best of Both Worlds; Comment on “(Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare”

Document Type : Commentary

Author

Health Services Management Centre, University of Birmingham, Birmingham, UK

Abstract

This article builds on Mannion and Exworthy’s 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.

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References

  1. Mannion R,  Exworthy M. (Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare. Int J Health Policy Manag. 2017;6(6):301-304. doi:10.15171/ijhpm.2017.35
  2. Price C. Revealed: NHS funding splashed on holidays, games consoles and summer houses. Pulse. September 1, 2015. http://www.pulsetoday.co.uk/news/commissioning-news/revealed-nhs-funding-splashed-on-holidays-games-consoles-and-summer-houses/20010960.article.  
  3. Mansell J, Beadle-Brown J. Person Centred Planning and Person-Centred Action. In: Paul Cambridge P, Carnaby S, eds. Person Centred Planning and Care Management With People With Learning Disabilities. London: Jessica Kingsley; 2005:19.

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History

  • Receive Date: 16 June 2017
  • Revise Date: 16 August 2017
  • Accept Date: 09 August 2017
  • First Publish Date: 01 April 2018

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