Complementary and alternative medicine legitimation efforts in a hostile environment

Detalhes bibliográficos
Autor(a) principal: Bicho, Marta
Data de Publicação: 2023
Outros Autores: Nikolaeva, Ralitza, Lages, Carmen
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/159610
Resumo: Funding Information: The authors express their gratitude to the participants for their availability to be a part of this study. Also, we thank the participants in a workshop organised by the Accounting, Governance and Organisations Group at the University of St Andrews for the extremely helpful and constructive comments in the revision of the paper. Thanks also to the two anonymous reviewers of this article. This work was funded by National Funds through FCT—Fundação para a Ciência e Tecnologia under the projects: UID/ECO/00124/2013, UID/ECO/00124/2019, UIDB/00315/2020; by Social Sciences DataLab under the project: LISBOA‐01‐0145‐FEDER‐022209; by POR Lisboa under the projects LISBOA‐01‐0145‐FEDER‐007722 and LISBOA‐01‐0145‐FEDER‐022209; and by POR Norte under the project: LISBOA‐01‐0145‐FEDER‐022209. Publisher Copyright: © 2023 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.
id RCAP_f38998a95d15fee157784b8914033a97
oai_identifier_str oai:run.unl.pt:10362/159610
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Complementary and alternative medicine legitimation efforts in a hostile environmentThe case of Portugalcomplementary and alternative medicinehostile environmenthybrid organisationslegitimacyHealth(social science)Health PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding Information: The authors express their gratitude to the participants for their availability to be a part of this study. Also, we thank the participants in a workshop organised by the Accounting, Governance and Organisations Group at the University of St Andrews for the extremely helpful and constructive comments in the revision of the paper. Thanks also to the two anonymous reviewers of this article. This work was funded by National Funds through FCT—Fundação para a Ciência e Tecnologia under the projects: UID/ECO/00124/2013, UID/ECO/00124/2019, UIDB/00315/2020; by Social Sciences DataLab under the project: LISBOA‐01‐0145‐FEDER‐022209; by POR Lisboa under the projects LISBOA‐01‐0145‐FEDER‐007722 and LISBOA‐01‐0145‐FEDER‐022209; and by POR Norte under the project: LISBOA‐01‐0145‐FEDER‐022209. Publisher Copyright: © 2023 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.This article explores complementary and alternative medicine (CAM) organisations’ legitimation efforts that face extra obstacles as they are subject to more than one institutional logics (hybrids) and operate in a contested organisational space (hostile environment). CAM organisations espouse the health and market logics and their practices are questioned at an institutional level. The study is conducted in Portugal, where the legalisation of CAM therapies was a contested process over 10 years. Taking an abductive approach and drawing on qualitative interviews, the authors analyse CAM managers’ efforts to legitimise their practices and build viable organisations despite hostile conditions. Contrary to prior studies of hybrid healthcare organisations, CAM organisations derive moral legitimacy from the market logic rather than the health logic. The findings show that relationships, trust-building and consumer education appear to be the primary vehicles for establishing pragmatic legitimacy. Thus, pragmatic legitimacy relies on the health logic. The market logic dominates the pursuit of moral legitimacy through financial sustainability, human capital, marketing communications and partnerships, and advocating complementarity with biomedicine. We propose a model through which organisations use pragmatic legitimacy to enhance moral legitimacy and to create recursive feedback between moral and pragmatic legitimacy on the path to cognitive legitimacy.NOVA School of Business and Economics (NOVA SBE)RUNBicho, MartaNikolaeva, RalitzaLages, Carmen2023-11-06T22:08:38Z2023-052023-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/159610eng0141-9889PURE: 54994948https://doi.org/10.1111/1467-9566.13625info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:42:00Zoai:run.unl.pt:10362/159610Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:57:36.773880Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Complementary and alternative medicine legitimation efforts in a hostile environment
The case of Portugal
title Complementary and alternative medicine legitimation efforts in a hostile environment
spellingShingle Complementary and alternative medicine legitimation efforts in a hostile environment
Bicho, Marta
complementary and alternative medicine
hostile environment
hybrid organisations
legitimacy
Health(social science)
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Complementary and alternative medicine legitimation efforts in a hostile environment
title_full Complementary and alternative medicine legitimation efforts in a hostile environment
title_fullStr Complementary and alternative medicine legitimation efforts in a hostile environment
title_full_unstemmed Complementary and alternative medicine legitimation efforts in a hostile environment
title_sort Complementary and alternative medicine legitimation efforts in a hostile environment
author Bicho, Marta
author_facet Bicho, Marta
Nikolaeva, Ralitza
Lages, Carmen
author_role author
author2 Nikolaeva, Ralitza
Lages, Carmen
author2_role author
author
dc.contributor.none.fl_str_mv NOVA School of Business and Economics (NOVA SBE)
RUN
dc.contributor.author.fl_str_mv Bicho, Marta
Nikolaeva, Ralitza
Lages, Carmen
dc.subject.por.fl_str_mv complementary and alternative medicine
hostile environment
hybrid organisations
legitimacy
Health(social science)
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic complementary and alternative medicine
hostile environment
hybrid organisations
legitimacy
Health(social science)
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description Funding Information: The authors express their gratitude to the participants for their availability to be a part of this study. Also, we thank the participants in a workshop organised by the Accounting, Governance and Organisations Group at the University of St Andrews for the extremely helpful and constructive comments in the revision of the paper. Thanks also to the two anonymous reviewers of this article. This work was funded by National Funds through FCT—Fundação para a Ciência e Tecnologia under the projects: UID/ECO/00124/2013, UID/ECO/00124/2019, UIDB/00315/2020; by Social Sciences DataLab under the project: LISBOA‐01‐0145‐FEDER‐022209; by POR Lisboa under the projects LISBOA‐01‐0145‐FEDER‐007722 and LISBOA‐01‐0145‐FEDER‐022209; and by POR Norte under the project: LISBOA‐01‐0145‐FEDER‐022209. Publisher Copyright: © 2023 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.
publishDate 2023
dc.date.none.fl_str_mv 2023-11-06T22:08:38Z
2023-05
2023-05-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/159610
url http://hdl.handle.net/10362/159610
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0141-9889
PURE: 54994948
https://doi.org/10.1111/1467-9566.13625
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138158733950976

Registros relacionados