The Recomposition of an Organizational Field: Health Care in Alberta

In this paper we develop a theoretical model that helps to understand change in mature organizational fields by emphasizing the role of competing institutional logics as part of a radical change process. Our investigation into a large-scale, government-led health reform initiative in Alberta, Canada, is based upon a qualitative case study approach to understanding the process of field recomposition. This study focuses on the later portions of change in an organizational field — that is, rather than explaining the sources of change, we investigate how a field becomes re-established after the implementation of a radical structural change.