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Perceptions of trust in physician-managers
Förvaltningshögskolan Göteborgs universitet, School of Public Administration, University of Gothenburg, Göteborg, Sweden.
University of Skövde, School of Business. University of Skövde, Enterprises for the Future. (Medarbetarskap och Organisatorisk resiliens (FORE))ORCID iD: 0000-0001-5718-0100
2015 (English)In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 28, no 4, 281-297 p.Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is to explore the dual role of physician-managers through an examination of perceptions of trust and distrust in physician-managers. The healthcare sector needs physicians to lead. Physicians in part-time managerial positions who continue their medical practice are called part-time physician-managers. This paper explores this dual role through an examination of perceptions of trust and distrust in physician-managers. Design/methodology/approach – The study takes a qualitative research approach in which interviews and focus group discussions with physician-managers and nurse-managers provide the empirical data. An analytical model, with the three elements of ability, benevolence and integrity, was used in the analysis of trust and distrust in physician-managers. Findings – The respondents (physician-managers and nurse-managers) perceived both an increase and a decrease in physicians’ trust in the physician-managers. Because elements of distrust were more numerous and more severe than elements of trust, the physician-managers received negative perceptions of their role. Research limitations/implications – This paper’s findings are based on perceptions of perceptions. The physicians were not interviewed on their trust and distrust of physician-managers. Practical implications – The healthcare sector must pay attention to the diverse expectations of the physician-manager role that is based on both managerial and medical logics. Hospital management should provide proper support to physician-managers in their dual role to ensure their willingness to continue to assume managerial responsibilities. Originality/value – The paper takes an original approach in its research into the dual role of physician-managers who work under two conflicting logics: the medical logic and the managerial logic. The focus on perceived trust and distrust in physician-managers is a new perspective on this complicated role.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2015. Vol. 28, no 4, 281-297 p.
Keyword [en]
Healthcare, Managerial logic, Medical logic, Part-time manager, Perceived trust, Physician-manager
National Category
Business Administration
Research subject
Humanities and Social sciences
URN: urn:nbn:se:his:diva-11572DOI: 10.1108/LHS-11-2014-0074PubMedID: 26388218ScopusID: 2-s2.0-84942089317OAI: oai:DiVA.org:his-11572DiVA: diva2:857593
Available from: 2015-09-29 Created: 2015-09-29 Last updated: 2016-06-03Bibliographically approved

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