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Table 1 Key institutional theory concepts applied to Australian Medicare Locals

From: How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations

Institutions:
- Regulative -refers to the PHC policy context, rule-setting and legal and contractual obligations between Medicare Locals and the funding body (federal government) that impact on the structure and activities of Medicare Locals around population health planning
- Normative -refers to organisational norms and feeling of social obligations - what they ought to do – that are morally govern and underpin actions in Medicare Locals
- Cultural-cognitive - refers to the common beliefs and logics of action that are taken for granted. The social model versus medical/clinical approaches to health service delivery is considered as a cultural-cognitive element impacting on Medicare Locals’ population health planning
Actors and agency:
 Refers to all the key players within the PHC institutional field and their ability to pursue decisions that can move the organisation in a new direction. Medicare Local staff are key actors. Medicare Locals’ organisational capacity and leadership can enable or constrain them to employ a broader population health approach. Other PHC organisations such as state departments of health, non-government organisations, community-based organisations, and professional associations also shape the way population health is planned and implemented.
Ideas:
 Refers to the values around PHC among people at all levels of policy and practice that impacted on the ways Medicare Locals framed population health and equity.