When multiple logics initiate a butterfly effect: the case of locum tenens physicians in Germany

Abstract

Modern work structures and organizations are often characterized by the simultaneous existence of multiple logics. Research has made profound efforts in describing a wide range of possible responses to different constellations of multiple logics in recent decades. But less is known about the subsequent effects of those responses. Since responses to multiple logics aim to change the initial constellation, they are likely to provoke counter-responses that alter the new constellation. Thus, as butterfly effect, certain strategies in dealing with multiple logics can initiate a series of responses that can lead to a fundamental change in the constellations of logics. The rise and fall of locum tenens physicians in Germany illustrate how series of responses can evolve, increase, and fundamentally alter the given constellation of logics. Thereby, our multi-method study also sheds light on the role of omnipresent actors and raises the question of how the actors can be theorized in a setting of multiple logics.