Table 1 The four logics
Logic | Market | Bureaucracy | Professional | Care |
|---|---|---|---|---|
Value | (Negative) freedom, autonomy, rationality, choice | Accessibility, rationality, control, thoroughness | Trust, collective knowledge, quality | Relationship forming and stabilising values (e.g. generosity, forgiveness) |
Relationship | Commercial: impersonal, equal, fungible, demand driven | Impersonal, hierarchical, rational | Hierarchical | Interdependent, personal, equal (in their moral rights) |
Care as.. | Commodity | Procedure | Higher professional goal/Discipline | Process |
Motive healthcare provider | Profit maximising | Equal treatment | Intrinsic | Emotional/Social |