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Framing of healthcare performance in China’s public hospital field: An ethnographic study

Framing of healthcare performance in China’s public hospital field: An ethnographic study
Framing of healthcare performance in China’s public hospital field: An ethnographic study
This study adopts a multi-level framing perspective to investigate the conceptions of healthcare performance emerged and evolved in response to the dynamic institutional complexity following China’s healthcare system reforms. We investigate how public hospital performance has been framed and reframed at the organizational and field level following the marketization reform in the 1990s and the retreat from such reform in the 2000s in China. Through direct observation of meetings, archive data analysis and interviews with government officials, hospital managers and doctors, our ethnographic study sheds light on how the meanings of a specific performance term, ‘Ji Xiao’(literally ‘performance’ and ‘efficiency’), first emerged within the hospitals, evolved bottom-up and eventually acquired the taken-for-granted quality of institutions at the field level. The findings contribute to institutional theory in general and institutional research on performance measurement in particular by unpacking the bottom-up and top-down processes of institutionalization of a specific conception of performance.
Performance measurement, China’s public hospitals, framing
Li, Pingli
a7bf0454-129f-46fa-bdf3-5bd940f569c4
Cui, Xuegang
437b8f77-f347-4485-add8-ae6343503954
Li, Pingli
a7bf0454-129f-46fa-bdf3-5bd940f569c4
Cui, Xuegang
437b8f77-f347-4485-add8-ae6343503954

Li, Pingli and Cui, Xuegang (2021) Framing of healthcare performance in China’s public hospital field: An ethnographic study. 2021 Management Accounting Section Midyear Meeting (AAA), , online. 05 - 09 Jan 2021.

Record type: Conference or Workshop Item (Paper)

Abstract

This study adopts a multi-level framing perspective to investigate the conceptions of healthcare performance emerged and evolved in response to the dynamic institutional complexity following China’s healthcare system reforms. We investigate how public hospital performance has been framed and reframed at the organizational and field level following the marketization reform in the 1990s and the retreat from such reform in the 2000s in China. Through direct observation of meetings, archive data analysis and interviews with government officials, hospital managers and doctors, our ethnographic study sheds light on how the meanings of a specific performance term, ‘Ji Xiao’(literally ‘performance’ and ‘efficiency’), first emerged within the hospitals, evolved bottom-up and eventually acquired the taken-for-granted quality of institutions at the field level. The findings contribute to institutional theory in general and institutional research on performance measurement in particular by unpacking the bottom-up and top-down processes of institutionalization of a specific conception of performance.

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More information

Published date: January 2021
Venue - Dates: 2021 Management Accounting Section Midyear Meeting (AAA), , online, 2021-01-05 - 2021-01-09
Keywords: Performance measurement, China’s public hospitals, framing

Identifiers

Local EPrints ID: 446049
URI: http://eprints.soton.ac.uk/id/eprint/446049
PURE UUID: fbe8c6dd-8164-43aa-b444-ff953ca863e0
ORCID for Pingli Li: ORCID iD orcid.org/0000-0001-5020-9126

Catalogue record

Date deposited: 19 Jan 2021 17:33
Last modified: 18 Feb 2021 17:24

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Contributors

Author: Pingli Li ORCID iD
Author: Xuegang Cui

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