The article analyzes the use and impact of a performance indicator for anesthetic files in hospitals in France. This indicator was implemented as a part of a government program for increasing healthcare quality. By means of a combination of site visits and ethnographic interviews in four hospitals, researchers compared the use of the indicator with previous expectations. While findings suggest a limited use of the indicator among rank-and-file anesthesiologists there is also evidence of higher awareness on the part of chief anesthesiologists and specialists in quality. Researchers found also indications of improvement in anesthesiologists’ practices, adaptations for the measurement tool in different hospitals and some emerging practices (use for negotiations and for scientific research). The cases also illustrate the role of the professional organization in the creation and implementation of this indicator.
ZICARI, A., GOMEZ, M.L., BONNEFOND, J., LORINO, P., WAELLI, M. and MINVIELLE, E. (2013). Implementing a National-Wide Performance Evaluation: The Case of the Anesthetic File Indicator in French Hospitals. In: 36th Annual Congress of the European Accounting Association 2013.