Texts in action
How nurses are doing the fiscal work of health care reform
Bibliographic Data
| ID | 20193066 |
|---|---|
| Authors | Janet Rankin (0000-0001-5355-454X, Vancouver Island University, corresponding author) |
| Year | 2001 |
| Volume | 7 |
| Issue | 2 |
| Pages | 251-267 |
| Publication date | 2001-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Studies in Cultures Organizations and Societies (JOURNAL) |
| Journal identifiers | ISSN: 1024-5286 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10245280108523560 |
| OpenAlex | W2120626112 |
| Language | EN |
| Citations received | 9 |
| References cited | 12 |
Canada's publicly insured system of socialized health care is coming under intense scrutiny by governments firmly focused on the politics of national indebtedness and public spending. Contemporary health care reforms aimed at cutting costs and increasing productivity place new emphasis on “official knowledge” constituted through particular textual practices. Since 1994 the Canadian Institute of Health Information (CIHI) has become a powerful regulator of patient care. It has entered business-like accountability and rationing practices based on competitive, market-like comparisons into Canadian hospitals in order to “assist leaders in the health sector make informed decisions” (CIHI 2000). Using Canadian sociologist Dorothy E. Smith's (1987) Institutional Ethnography, with a specific focus explicating a Smithian textual analysis (1990a, 1990b, 1999), this paper explores, in depth, one feature of how a business genre is being inserted into the everyday practices of nurses and doctors who work with the frail elderly in a small community hospital in British Columbia
Accountability · Economic growth · Economics · Health care · Political science · Politics · Productivity · Public relations · Rationing · Scrutiny · Sociology · Canadian Identity and History · Feminism, Gender, and Sexuality Studies · Law · Medicine · Nursing · Public Administration · Qualitative Research Methods and Ethics
Compliance/Adherence, HIV, and the Critique of Medical Power
Not for the faint of heart
Courtextual Slippage
Performative identity regulation in rehabilitative home care work
Investigating the organizational everyday
Care Descriptions at Work
The 'actualities' of knowledge work
Introduction
The work of nurses in private health
| Unique citing works | 9 |
|---|---|
| Citations per year | 0,41 |
| Citation span | 2004 - 2019 (16) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 8 |