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Measuring Nothing

The Case of the Greek National Health System

Bibliographic Data

ID5778617
AuthorsApostolos Ballas (0000-0001-9375-7421, Athens University of Economics and Business), Apostolos A Ballas (Department of Accounting and Finance of the Athens University of Economics and Business, Greece), Haridimos Tsoukas (University of Warwick)
Year2004
Volume57
Issue6
Pages661-690
Publication date2004-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHuman Relations (JOURNAL)
Journal identifiersISSN: 0018-7267 • E-ISSN: 1741-282X
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0018726704044951
OpenAlexW2127757325
LanguageEN
Citations received8
References cited35

Several critical studies in accounting have approached the introduction of accounting systems in the public sector in terms of enforcing and sustaining competition-based resource allocation mechanisms. In this study, we reverse the question and ask: why has accounting not been used in certain public bureaucracies as much as it might? We investigate the extent to which accounting systems have been used in the management of the Greek National Health System (ESY) and find that accounting has played a marginal role in its development. Attempting to explain this puzzling feature we first note and then contrast the main underlying features of accounting systems with those of the Greek political system in general, and ESY in particular. Briefly, our explanation is that the historically high politicization that has characterized the Greek political system has tended to over-shadow the economic-cum-managerial dimension of running public bureaucracies, favouring overtly political evaluation criteria of organizational and individual performance. In such an institutional environment, accounting has low symbolic significance and its use does not contribute to enhancing organizational legitimacy - hence its marginal role

Bureaucracy · New public management · Nothing · Political system · Accounting and Organizational Management · Local Government Finance and Decentralization · Public Policy and Administration Research

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Unique citing works8
Citations per year0,47
Citation span2009 - 2023 (15)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 8

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