Cash Limits, Hospital Prescribing and Shrinking Medical Jurisdiction

In recent years substantial research effort has been applied to the study of the introduction of accounting logics into medical practice, but little of that effort has been applied to the area of the prescribing of medicines, especially in the hospital setting. This paper uses the sociology of the p...

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Bibliographic Details
Published in:Financial accountability & management 2014-11, Vol.30 (4), p.403-429
Main Authors: Jackson, William J., Paterson, Audrey S., Pong, Christopher K. M., Scarparo, Simona
Format: Article
Language:English
Subjects:
Accounting procedures
cash limits
Clinical medicine
hospital prescribing
Hospitals
Jurisdiction
Logic
medical jurisdiction
Studies
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Summary:In recent years substantial research effort has been applied to the study of the introduction of accounting logics into medical practice, but little of that effort has been applied to the area of the prescribing of medicines, especially in the hospital setting. This paper uses the sociology of the professions as a lens to analyse how policy and managerial initiatives promoting cost and budgetary concerns have affected medical jurisdiction and prescribing practice within the setting of Scottish acute hospitals. The findings suggest that the introduction of accounting logic is shrinking medical jurisdiction and stratifying the profession within the hospital setting.
ISSN:0267-4424
1468-0408
DOI:10.1111/faam.12042