2016
DOI: 10.1111/faam.12080
|View full text |Cite
|
Sign up to set email alerts
|

Gaming, Accountability and Trust: DRGs and Activity‐Based Funding in Norway

Abstract: This paper examines a particular performance management instrument in Norway: DRGs used in conjunction with activity‐based funding of hospitals. We ask whether this system creates opportunities for undesirable gaming practices, how accountability arrangements deal with gaming, and how trust and institutional logic may help to explain anomalies and their resolve. From an instrumental and cultural perspective, we examine six Norwegian cases of gaming and two governmental assessments of coding and activity‐based … Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2
1

Citation Types

0
20
0

Year Published

2017
2017
2022
2022

Publication Types

Select...
7

Relationship

0
7

Authors

Journals

citations
Cited by 19 publications
(20 citation statements)
references
References 47 publications
0
20
0
Order By: Relevance
“…Based on this logic, we posit that:
Hypothesis 1 : Citizens will regard performance management mechanisms as having a direct effect on their lives when they see organizational indicators rather than systemic indicators.
A similar rationale applies when we consider the reliability citizens assign to performance information. The scholarly literature shows that people involved in performance management often distort measures and ‘game’ the system in ways that may produce misleading information (Heinrich and Marschke ; Lægreid and Neby ). Indeed, the stories that people may hear about or experience with regard to these strategies may lead them to view these indicators as unreliable.…”
Section: Citizens' Interpretations Of Performance Information: Impactmentioning
confidence: 99%
See 2 more Smart Citations
“…Based on this logic, we posit that:
Hypothesis 1 : Citizens will regard performance management mechanisms as having a direct effect on their lives when they see organizational indicators rather than systemic indicators.
A similar rationale applies when we consider the reliability citizens assign to performance information. The scholarly literature shows that people involved in performance management often distort measures and ‘game’ the system in ways that may produce misleading information (Heinrich and Marschke ; Lægreid and Neby ). Indeed, the stories that people may hear about or experience with regard to these strategies may lead them to view these indicators as unreliable.…”
Section: Citizens' Interpretations Of Performance Information: Impactmentioning
confidence: 99%
“…A similar rationale applies when we consider the reliability citizens assign to performance information. The scholarly literature shows that people involved in performance management often distort measures and 'game' the system in ways that may produce misleading information (Heinrich and Marschke 2010;Laegreid and Neby 2016). Indeed, the stories that people may hear about or experience with regard to these strategies may lead them to view these indicators as unreliable.…”
Section: Citizens' Interpretations Of Performance Information: Impamentioning
confidence: 99%
See 1 more Smart Citation
“…However, procedural accountability is just one of the many accountability demands characterizing the administration of Pompeii, and the public sector generally. Studies of accountability emphasize that public employees typically operate in an accountability web, facing multiple sources of legitimate authority, and competing expectations (Bovens, ; Bracci, ; Koppel, ; Leagreid & Neby, ; Luke, ; Romzek, ). In this sense, there is no certainty that decreasing accountability for procedures leads to a result‐oriented approach, or that this automatically implies the absence of any form of accountability.…”
Section: Positioning Patronage In the Accountability Debatementioning
confidence: 99%
“…Recent years have seen a sustained level of scholarly engagement with issues relating to accountability in a variety of settings, including government and the public sector (Mulgan 2003;Laegreid and Neby 2016), non-governmental organizations (Fassin 2009), the corporate sector (Reynolds and Yuthas 2008;Meng et al 2013), and religious organizations (Yasmin et al 2014). Examination of the nature and effectiveness of accountability arrangements in the regulatory context has been more limited , but is of potential significance given major regulatory shifts characterized by the delegation of standard-setting and enforcement functions to independent regulatory agencies (IRAs) in a variety of socially significant regulatory domains (Mattli and Buhte 2005).…”
Section: Introductionmentioning
confidence: 99%