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Table 4 Governance tensions in healthcare organisations

From: Governance tensions in the healthcare sector: a contrasting case study in France

Levels of governance Clinic CLCC
Governance tensions Responses to tensions Governance tensions Responses to tensions
Institutional Tensions on professional practices - Translating steering tools Tensions on professional practices - Role of middle management
Tensions on professional standards - Acceptance of the search for profitability Tensions on professional values - Role of professional beliefs
Organisational Tensions on professional standards - Role of the patient pathway Tensions on professional practices - Enhanced cooperation between professionals
Managerial Tensions on professional values - Professional beliefs focused on patient care Tensions on professional values - Staff sacrifice
- Staff commitment to the care profession
Tensions on professional standards - Cooperation and teamwork
Instrumental Tensions on professional standards - Role of wage increases
- Role of management indicators
Tensions on professional practices - Appropriation of management tools
- Cooperation