Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28267
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: Financialising acute kidney injury: From the practices of care to the numbers of improvement
Author(s): Bailey, Simon
Pierides, Dean
Brisley, Adam
Weisshaar, Clara
Blakeman, Tom
Contact Email: d.c.pierides@stir.ac.uk
Keywords: Finance
funding
budgeting
Health service organisations
political
quality of care safety
ethnography
Issue Date: Jun-2019
Date Deposited: 19-Nov-2018
Citation: Bailey S, Pierides D, Brisley A, Weisshaar C & Blakeman T (2019) Financialising acute kidney injury: From the practices of care to the numbers of improvement. Sociology of Health and Illness, 41 (5), pp. 882-899. https://doi.org/10.1111/1467-9566.12868
Abstract: Although sociological studies of quality and safety have identified competing epistemologies in the attempt to measure and improve care, there are gaps in our understanding of how finance and accounting practices are being used to organise this field. This analysis draws on what others have elsewhere called 'financialisation' in order to explore the quantification of qualitatively complex care practices. We make our argument using ethnographic data of a quality improvement program for acute kidney injury (AKI) in a publicly funded hospital in England. Our paper is thus concerned with tracing the effects of financialisation in the emergence and assembly of AKI as an object of concern within the hospital. We describe three linked mechanisms through which this occurs: (1) representing and intervening in kidney care; (2) making caring practices count; and, (3) decision-making using kidney numbers. Together these stages transform care practices first into risks and then from risks into costs. We argue that this calculative process reinforces a separation between practice, and organisational decision-making made on the basis of numbers. This elevates the status of numbers while diminishing the work of practitioners and managers. We conclude by signalling possible future avenues of research that can take up these processes.
DOI Link: 10.1111/1467-9566.12868
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: Bailey, S. , Pierides, D. , Brisley, A. , Weisshaar, C. and Blakeman, T. (2019), Financialising acute kidney injury: from the practices of care to the numbers of improvement. Sociol Health Illn, 41: 882-899, which has been published in final form at https://doi.org/10.1111/1467-9566.12868. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving.

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