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Value-based innovations in a Norwegian hospital: from conceptualization to implementation

ABSTRACT In the following, we examine the encounter between business management models and professional values when organizational innovations are introduced in a Norwegian hospital. The management model is based upon ‘value-based health care’ (VBHC). We argue that the value perspectives have worked as symbolic signals for work practices. However, institutional values and medical considerations have also guided the organization of clinical work. Being a pragmatic blend of the business management model for cost- effective health work on the one hand, and professional values on the other, the value concept appeared as a hybrid organization where different institutional logics are combined.