Quantified control in healthcare work: Suggestions for future research

TY - JOUR

T1 - Quantified control in healthcare work

T2 - Suggestions for future research

AU - Levay, Charlotta

AU - Jönsson, Johan

AU - Huzzard, Tony

PY - 2020/11

Y1 - 2020/11

N2 - This paper outlines promising avenues for empirical research on quantified control in healthcare work. A review of key insights from accounting, organization studies, and the emergent sociology of quantification indicates that numbers are productive as well as deceptive and seductive, that they enable control but can be evaded, and that they typically have unintended effects. It remains to be further explored how multiple forms of measurement and quantified control play out in everyday healthcare work. Other questions worth probing concern the limits and capabilities of numbers as a shared language, the differential and disciplinary effects of numbers on social groups, the use of numbers for impression management, and how people manage to resist or mobilize numbers for different purposes. Calling for additional qualitative, close-up studies, the paper proposes a research focus on everyday practices and the interactions of diverse control measures. It sets out several fruitful methodological pathways, both the well-established approaches of ethnography and Actor-Network Theory and the more novel approaches of investigating numbers as communicative acts or as dramaturgical performances.

AB - This paper outlines promising avenues for empirical research on quantified control in healthcare work. A review of key insights from accounting, organization studies, and the emergent sociology of quantification indicates that numbers are productive as well as deceptive and seductive, that they enable control but can be evaded, and that they typically have unintended effects. It remains to be further explored how multiple forms of measurement and quantified control play out in everyday healthcare work. Other questions worth probing concern the limits and capabilities of numbers as a shared language, the differential and disciplinary effects of numbers on social groups, the use of numbers for impression management, and how people manage to resist or mobilize numbers for different purposes. Calling for additional qualitative, close-up studies, the paper proposes a research focus on everyday practices and the interactions of diverse control measures. It sets out several fruitful methodological pathways, both the well-established approaches of ethnography and Actor-Network Theory and the more novel approaches of investigating numbers as communicative acts or as dramaturgical performances.

KW - calculative practice

KW - quantification

KW - control

KW - ethnography

KW - healthcare

U2 - 10.1111/faam.12242

DO - 10.1111/faam.12242

M3 - Article

VL - 36

SP - 461

EP - 478

JO - Financial Accountability & Management

JF - Financial Accountability & Management

SN - 1468-0408

IS - 4

ER -