Logic Conflicts in Community-Based Palliative Care
The paper "Logic Conflicts in Community-Based Palliative Care" examines the challenges and opportunities within community-based palliative care systems, using Kerala, India, as a case study. Kerala's model, recognized for its emphasis on community ownership, total care, and integration with public health systems, serves as a critical lens to explore organizational conflicts. The study identifies four central "logic conflicts" in the field of palliative care: professional versus community logics, centralized versus decentralized governance, generalist versus specialist care logics, and charity versus rights-based logics. These conflicts arise due to diverse interests and power dynamics among stakeholders, including medical professionals, state agencies, and community volunteers, influencing decision-making and coordination. The study employs an inductive qualitative methodology, drawing from fieldwork conducted across eight palliative care clinics in Kerala, in...