Chromik, Jessica (2015). Changing Professionals: Professionals’ Role in the Institutional Dynamics of German Health Care. PhD thesis, Universität zu Köln.


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With an empirical focus on the health care sector, this dissertation addresses the questions on when, how and why professionals influence institutional change and stability. Specifically, this dissertation focuses on the institutional work efforts of different groups of health care professionals, namely physicians and nurses, within German health care. Given the significant regulatory dynamics that German health care experienced during the last decades, this setting provides a particularly favorable background for the study on when, why, and how professionals seek to create, maintain and disrupt institutions. Elaborating on how professionals interact with the different contexts in which they are embedded, this thesis aims to provide a holistic picture of professionals’ engagement in institutional dynamics. In particular, this thesis contributes to the growing literature on the micro-processes of professionals’ institutional work within the diverse contexts in which these actors operate.

Item Type: Thesis (PhD thesis)
CreatorsEmailORCIDORCID Put Code
URN: urn:nbn:de:hbz:38-62172
Date: 29 June 2015
Language: English
Faculty: Faculty of Management, Economy and Social Sciences
Divisions: Faculty of Management, Economics and Social Sciences > Business Administration > Corporate Development > Professorship for Business Administration, Corporate Development and Organization
Subjects: Management and auxiliary services
Uncontrolled Keywords:
Institutional Change, Professionals, Health CareEnglish
Date of oral exam: 29 June 2015
NameAcademic Title
Ebers, MarkProf. Dr.
Refereed: Yes


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