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Accounting and the 'insoluble' problem of health-care costs.

Gebreiter, G. and Ferry, L. (2018) 'Accounting and the 'insoluble' problem of health-care costs.', European accounting review., 25 (4). pp. 719-733.

Abstract

Health service accounting reforms are frequently promoted, explained or justified with reference to aging populations, expensive medical technologies and their purported implications for the cost of health care. Drawing on Foucault’s genealogical method, we examine the emergence of concerns regarding health expenditure in the wake of the creation of the British National Health Service in 1948, and their relationship with health service accounting practices. We argue that concerns regarding the cost of health care are historically contingent rather than inescapable consequences of demographic and technological change, and that health service accounting practices are both constitutive and reflective of such concerns. We conclude by relating our analysis to current attempts to control costs and increase efficiency in the health services.

Item Type:Article
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Status:Peer-reviewed
Publisher Web site:http://dx.doi.org/10.1080/09638180.2016.1187073
Publisher statement:© 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercialNoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Record Created:16 May 2016 09:35
Last Modified:10 Oct 2016 10:57

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