Coding for quality? Accountability work in standardised cancer patient pathways (CPPs)
Bibliographic Data
| ID | 7787724 |
|---|---|
| Authors | Erna Håland (0000-0003-2758-4416, Norwegian University of Science and Technology, corresponding author), Line Melby (0000-0002-4507-0198, SINTEF) |
| Year | 2023 |
| Volume | 27 |
| Issue | 1 |
| Pages | 129-146 |
| Publication date | 2023-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/13634593211013882 |
| PMID | 33926302 |
| OpenAlex | W3159085905 |
| Language | EN |
| Citations received | 6 |
| References cited | 23 |
A vital part of standardised care pathways is the possibility to measure performance through different indicators – for example, codes. In this article, based on interviews with health personnel in a project evaluating the introduction of standardised cancer patient pathways (CPPs) in Norway, we explore the specific types of work involved when health personnel produce codes as (intended) signifiers of quality. All the types of work are dimensions of what we define as accountability work – work health personnel do to make the codes signifiers of quality of care in the CPP. Codes and coding practices raise questions of what quality of care represents and how it could and should be measured. Informants in our study advocate for coding as important work for the patient more than for ‘the system’. This shows how organising for quality becomes a crucial part of professional work, expanding what it means to perform high quality care
Accountability · Cancer · Political science · Sociology · Clinical practice guidelines implementation · Engineering · Health Systems, Economic Evaluations, Quality of Life · Healthcare Quality and Management · Medicine · Cancer Research · Internal Medicine
Full issue Vol. 12, No. 3 (2022)
Who is this for? How felt accountability shapes the enactment of accountability in public service delivery
Assuming accountability in the absence of control
Cultivating Data Practices Across Boundaries
Coexisting cancer regimes
Don't freak out if you get a letter saying cancer patient pathways
Hybrid professionalism and beyond
Clinical governance and governmentality
Sorting Things Out
Powers of Freedom
Government by standards
Preventing Implementation
Standardization in Action
Layers of Silence, Arenas of Voice
Pragmatic evidence and textual arrangements
From boundary concept to boundary object
Diversity in clinical guidelines
Understanding context for quality improvement
Care pathways as boundary objects between primary and secondary care
New Directions in State and International Professional Occupations
A World of Standards but not a Standard World
Work and the Division of Labor
Introducing the electronic patient record (EPR) in a hospital setting
Adaptive regulation or governmentality
Pathways to professionalism? Quality improvement, care pathways, and the interplay of standardisation and clinical autonomy
Lost in translation? 'Evidence' and the articulation of institutional logics in integrated care pathways
| Unique citing works | 6 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |