Читать книгу Quantifying Human Resources - Clotilde Coron - Страница 13

The introduction of activity-based pricing in French hospitals is a long-term process that takes several years. It required, among other things, a quantification of medical procedures and patients: how much a particular medical procedure costs and should be remunerated, or the management of a particular type of patient. However, this statisticalization has been the subject of many controversies between doctors, health authorities and patient associations. These different actors obviously have divergent interests, between reducing hospital costs and improving the management of a specific pathology. This case therefore illustrates the way in which the quantification of reality, far from being merely a neutral reflection of reality, proceeds from choices, negotiations and controversies that illustrate its sociologically constructed dimension.

Finally, this second trend takes a more critical approach to quantification. While the first trend is based in particular on the idea of quantification that can supposedly provide objectivity, transparency, neutrality and rationalization, the second trend questions this vision and these assumptions, thus questioning more generally the contributions of quantification to management.