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 |