Hybridization as practice: clinical engagement with performance metrics and accounting technologies in the English NHS

Begkos, Christos ORCID: 0000-0001-8487-3041 and Antonopoulou, Katerina ORCID: 0000-0003-1817-8790 (2022) Hybridization as practice: clinical engagement with performance metrics and accounting technologies in the English NHS. Accounting, Auditing & Accountability Journal, 35 (3). pp. 627-657.

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Abstract

<jats:sec><jats:title content-type="abstract-subheading">Purpose</jats:title><jats:p>This study aims to investigate the hybridization practices that medical managers engage with to promote accounting and performance measurement in the hybrid setting of healthcare. In doing so, the authors explore how medical managers enact and become practitioners of hybridity.</jats:p></jats:sec><jats:sec><jats:title content-type="abstract-subheading">Design/methodology/approach</jats:title><jats:p>The authors adopt a practice lens to conceptualize hybridization as an emergent, situated practice and capture the micro-activities that medical managers engage with when they enact hybridity. The authors conducted semi-structured interviews with medical managers, business managers and coding professionals and collected documents at an English National Health Service (NHS) hospital over the course of five years.</jats:p></jats:sec><jats:sec><jats:title content-type="abstract-subheading">Findings</jats:title><jats:p>The findings accentuate two emergent practices through which medical managers instill hybridity to individuals who are hesitant or resistant to hybridization. Medical managers engage in equivocalizing and de-stigmatizing practices to broaden the understandings, further diversify or reconcile the teleologies of clinicians in non-managerial roles. In doing so, the authors signal the merits of accounting in improving care outcomes and remove the stigma associated to clinical engagement with costs.</jats:p></jats:sec><jats:sec><jats:title content-type="abstract-subheading">Originality/value</jats:title><jats:p>The study contributes to hybridization and practice theory literature via capturing how hybridity is enacted in practice in a healthcare setting. As medical managers engage with and promote accounting information and performance measurement technologies in their practice environment, they transcend professional boundaries and hybridize the professional spaces that surround them.</jats:p></jats:sec>

Item Type:	Article
Uncontrolled Keywords:	Clinical Research, 7 Management of diseases and conditions, 7.3 Management and decision making, 8.1 Organisation and delivery of services, 8 Health and social care services research
Divisions:	Faculty of Humanities and Social Sciences > School of Management
Depositing User:	Symplectic Admin
Date Deposited:	15 Sep 2021 15:44
Last Modified:	17 Mar 2024 12:46
DOI:	10.1108/aaaj-12-2019-4333
Related URLs:	Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3137175