Making Hospitals Governable: Performativity and Institutional Work in Ranking Practices

I. Wallenburg, J. Quartz, R. Bal*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Rankings have become ubiquitous in public service settings. Although there are high hopes that comparative analysis leads to improved processes and outcomes, there is also a growing criticism of rankings as creating perverse effects. In this article, we analyze how public service governance is affected by rankings with a special focus on how, in what ways, and to what extent organizations are made into governable entities as a response to rankings. The article is based on a detailed ethnographic study in three Dutch hospitals, using insights from actor-network theory and institutional work, combining the concepts of performativity and institutional work.
Original languageEnglish
Pages (from-to)637-663
Number of pages27
JournalAdministration & Society
Volume51
Issue number4
DOIs
Publication statusPublished - 1 Apr 2019

Keywords

  • actor-network theory
  • directions
  • institutional work
  • investment
  • materiality
  • numbers
  • patient safety
  • performativity
  • power
  • quality
  • rankings
  • reforms
  • REFORMS
  • QUALITY
  • NUMBERS
  • POWER
  • PATIENT SAFETY
  • INVESTMENT
  • DIRECTIONS

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