The German organ transplant scandal: the collective mindsets of physicians

On the backdrop of the “German Organ Transplant Scandal”, we explore the question of which unwritten rules were supportive of guideline violations within transplant centers. This contribution follows on from the previous contribution “The German Organ Transplant Scandal: An Analysis of Court Records...

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Hauptverfasser: Pohlmann, Markus (VerfasserIn) , Höly, Kristina (VerfasserIn)
Dokumenttyp: Kapitel/Artikel Konferenzschrift
Sprache:Englisch
Veröffentlicht: 22 March 2023
In: Organizational crime
Year: 2023, Pages: 231-250
DOI:10.1007/978-3-658-38960-4_10
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/978-3-658-38960-4_10
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Verfasserangaben:Markus Pohlmann & Kristina Höly

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520 |a On the backdrop of the “German Organ Transplant Scandal”, we explore the question of which unwritten rules were supportive of guideline violations within transplant centers. This contribution follows on from the previous contribution “The German Organ Transplant Scandal: An Analysis of Court Records and Official Documents from the Medical Association” by complementing it in the question of the causes of organizational deviance in transplant medicine. We examine the extent to which competitive pressure, hierarchical context, justification, and internalization as four typical mechanisms from organizational sociology and criminology are responsible for the emergence and spread of deviance. On the basis of a collective mindset analysis (CMA) of a total of 62 interviews with physicians and medical staff as well as a participant observation in a transplant center, we conclude that guideline violations are a special form of organizational deviance, namely professional deviance, which focused on the realization of a professional claim to sovereignty. 
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