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Calculation, justification, and medical profession: Introduction of performance appraisals and pecuniary incentives within an emergency unit

Conference contribution
Authors Cemil Eren Firtin
Tom Karlsson
Published in The Centre for Global Human Resource Management, International Interdisciplinary Conference on HRM, 03-05 April 2019, Gothenburg
Publication year 2019
Published at School of Public Administration
Language en
Keywords Calculative practice, managerialism, performance appraisals, public sector organizations, pecuniary incentives
Subject categories Public Administration Studies, Business Administration


In this article, we address the issues of calculation and economization within contemporary public organizations. We address issues of how choices of organizing emergency health care have been affected by a production of calculation. More specifically, we pay specific attention to how the use of performance appraisals, in terms of calculations and valuations, has become important components in the construction of pecuniary incentives for individual professionals within healthcare organizations. Drawing on empirical data from 12 in-depth interviews at three different emergency health care sites, the analysis reveals how calculation and accounting as a performative act shapes professional work. This article contributes to the growing literature focusing on accountingization by showing how the calculations enable the meet between accounting and medical profession and demonstrating the performative consequences of accounting on the medical work.

Page Manager: Webmaster|Last update: 9/11/2012

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