Institutional Environments,Sociopolitical Processes,and Health Movement Organizations: The Growth of Self‐Help/Mutual‐Aid1

This study examines the relationship between sociopolitical processes and health social movement organization formation. Two central research questions are posed: How do self‐help/mutual‐aid institutional environments characterized by professional actors, the state, and social movements influence organizational formation, and do these influences grow stronger or weaker as the self‐help/mutual‐aid movement matures? Analyses comparing the impact of institutional factors such as physician hegemony and autonomy, professional affiliation, state spending, and political ties on self‐help/mutual‐aid founding rates reveal negative effects of professionals but positive effects of the state. These relationships tend to grow stronger as the movement matures. For example, declining professional authority increasingly eases organizational foundings during movement maturity as does the beneficial impact on formation of state expansion in health markets and political ties. Implications are discussed.