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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

- 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.
 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.