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‘We don’t like the rules and still we keep seeking new ones’: The vicious circle of quality control in professional organizations

Wadmann, Sarah LU ; Holm-Petersen, Christina and Levay, Charlotta LU (2019) In Journal of Professions and Organization 6(1). p.17-32
Abstract
Standardization, auditing, and performance measurement increasingly characterize the governance of professional organizations. In hospital services, this is expressed in a multiplication of quality as- surance programmes, which may be characterized as technologies of quality control. Organizational research shows that the impact of such technologies is profound and often problematic. Even if rooted in professional expertise, they tend to evoke resistance and evasion among professionals. Drawing on Crozier’s classic analysis of bureaucratic malfunctions and recent theory of professional hybridity and co-optation, this article brings forth a new aspect of professionals’ encounter with managerial forms of governance, as manifested in a case... (More)
Standardization, auditing, and performance measurement increasingly characterize the governance of professional organizations. In hospital services, this is expressed in a multiplication of quality as- surance programmes, which may be characterized as technologies of quality control. Organizational research shows that the impact of such technologies is profound and often problematic. Even if rooted in professional expertise, they tend to evoke resistance and evasion among professionals. Drawing on Crozier’s classic analysis of bureaucratic malfunctions and recent theory of professional hybridity and co-optation, this article brings forth a new aspect of professionals’ encounter with managerial forms of governance, as manifested in a case study from the Danish hospital services. Despite scepticism, professional groups with differing status and interests can reinforce a burden- some system of governance with even more standards and intensified measuring, as they seek to use the technologies of quality control to manage uncertainties and enhance their standing in relation to other groups. Hence, professionals can find themselves caught in what we call a vicious circle of quality control. This dynamic, we propose, is essentially of a professional nature; it is through their very efforts to promote their distinctive aspirations that professionals may end up fuelling excessive measurement and detailed controls, thereby making their own work more difficult. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Professions and Organization
volume
6
issue
1
pages
17 - 32
publisher
Oxford University Press (OUP)
ISSN
2051-8803
DOI
10.1093/jpo/joy017
language
English
LU publication?
yes
id
f9019b6a-0b58-40df-a6c8-6bf33d85781d
alternative location
https://academic.oup.com/jpo/article/6/1/17/5233439
date added to LUP
2019-03-13 20:36:36
date last changed
2019-05-24 10:27:19
@article{f9019b6a-0b58-40df-a6c8-6bf33d85781d,
  abstract     = {Standardization, auditing, and performance measurement increasingly characterize the governance of professional organizations. In hospital services, this is expressed in a multiplication of quality as- surance programmes, which may be characterized as technologies of quality control. Organizational research shows that the impact of such technologies is profound and often problematic. Even if rooted in professional expertise, they tend to evoke resistance and evasion among professionals. Drawing on Crozier’s classic analysis of bureaucratic malfunctions and recent theory of professional hybridity and co-optation, this article brings forth a new aspect of professionals’ encounter with managerial forms of governance, as manifested in a case study from the Danish hospital services. Despite scepticism, professional groups with differing status and interests can reinforce a burden- some system of governance with even more standards and intensified measuring, as they seek to use the technologies of quality control to manage uncertainties and enhance their standing in relation to other groups. Hence, professionals can find themselves caught in what we call a vicious circle of quality control. This dynamic, we propose, is essentially of a professional nature; it is through their very efforts to promote their distinctive aspirations that professionals may end up fuelling excessive measurement and detailed controls, thereby making their own work more difficult.},
  author       = {Wadmann, Sarah and Holm-Petersen, Christina and Levay, Charlotta},
  issn         = {2051-8803},
  language     = {eng},
  month        = {03},
  number       = {1},
  pages        = {17--32},
  publisher    = {Oxford University Press (OUP)},
  series       = {Journal of Professions and Organization},
  title        = {‘We don’t like the rules and still we keep seeking new ones’: The vicious circle of quality control in professional organizations},
  url          = {http://dx.doi.org/10.1093/jpo/joy017},
  volume       = {6},
  year         = {2019},
}