Lógicas institucionales de la relación médico-paciente desde la percepción de los médicos: estudio desde el área de consulta externa en una IPS de primer nivel

This article has the purpose of understanding, based on institutional logics, the factors that are part of the doctor-patient relationship from the physician’s perception, in the outpatient consultation area of a healthcare institution in Cali, Colombia. An exploratory-descriptive qualitative methodology was used, through 23 interviews with general practitioners, which were analyzed with the systemic approach of qualitative data of the Grounded Theory. The empirical evidence allowed us to identify the recurring factors and interrelationships of the different logics that intervene in the doctor-patient relationship, grouping them into four dimensions: medical, organizational, social, and educational. The interaction between all institutional logics reflects the complexity of the doctor-patient relationship and the need to manage it in a multidirectional manner. This research contributes to the literature on management, more specifically the institutional logics allowing us to elucidate the perception of one of the groups of actors involved in the daily activities that intervene in the doctor-patient relationship, as voices of the multiple competing logics involved.