Accounting artifacts and the reformation of a national healthcare system

IF 8.3 2区 管理学 Q1 BUSINESS, FINANCE Critical Perspectives on Accounting Pub Date : 2024-02-02 DOI:10.1016/j.cpa.2024.102719
Abu Shiraz Rahaman, Dean Neu, Jeff Everett
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Abstract

This study examines the role of ‘accounting artifacts’ in the reformation of a country’s healthcare system. Focusing on a single hospital and four decades of policy reform in the African nation of Ghana, and starting from Pierre Bourdieu’s Logic of Practice, the study shows how different forms, constructions, and classifications of accounting information—or accounting artifacts—shape policy regimes and facilitate particular patterns of activity and interaction. The study demonstrates how these regimes and patterns, in conjunction with the embedded social memory or habitus of individual actors, in turn lead to the construction and use of new artifacts. Finally, the study highlights how hospital staff and patients use various tactics to work with and around these artifacts, resulting in at times unintended consequences and the need to pursue new policy directions. In so doing, the study furthers our understanding of why policy-reform processes in the field of healthcare are so often sequential, if not perpetual, in nature.

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会计工具与国家医疗系统改革
本研究探讨了 "会计人工制品 "在一个国家医疗系统改革中的作用。本研究以非洲国家加纳的一家医院和四十年的政策改革为重点,从皮埃尔-布尔迪厄的《实践逻辑》出发,展示了会计信息--即会计工件--的不同形式、构造和分类如何塑造政策制度,以及如何促进特定的活动和互动模式。研究表明,这些制度和模式如何与个体行动者的社会记忆或习惯相结合,进而导致新人工制品的构建和使用。最后,研究强调了医院员工和患者如何使用各种策略来处理和利用这些人工制品,从而有时产生意想不到的后果,并需要寻求新的政策方向。因此,本研究进一步加深了我们对医疗保健领域的政策改革进程为何往往具有连续性(如果不是永久性的话)的理解。
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来源期刊
CiteScore
9.40
自引率
7.80%
发文量
91
期刊介绍: Critical Perspectives on Accounting aims to provide a forum for the growing number of accounting researchers and practitioners who realize that conventional theory and practice is ill-suited to the challenges of the modern environment, and that accounting practices and corporate behavior are inextricably connected with many allocative, distributive, social, and ecological problems of our era. From such concerns, a new literature is emerging that seeks to reformulate corporate, social, and political activity, and the theoretical and practical means by which we apprehend and affect that activity. Research Areas Include: • Studies involving the political economy of accounting, critical accounting, radical accounting, and accounting''s implication in the exercise of power • Financial accounting''s role in the processes of international capital formation, including its impact on stock market stability and international banking activities • Management accounting''s role in organizing the labor process • The relationship between accounting and the state in various social formations • Studies of accounting''s historical role, as a means of "remembering" the subject''s social and conflictual character • The role of accounting in establishing "real" democracy at work and other domains of life • Accounting''s adjudicative function in international exchanges, such as that of the Third World debt • Antagonisms between the social and private character of accounting, such as conflicts of interest in the audit process • The identification of new constituencies for radical and critical accounting information • Accounting''s involvement in gender and class conflicts in the workplace • The interplay between accounting, social conflict, industrialization, bureaucracy, and technocracy • Reappraisals of the role of accounting as a science and technology • Critical reviews of "useful" scientific knowledge about organizations
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