Measuring Nothing: The Case of the Greek National Health System
研究了会计系统在希腊国家卫生系统中为何仅发挥边缘作用，发现高度政治化导致经济管理维度被忽视，会计缺乏象征意义，对组织合法性贡献有限。
Several critical studies in accounting have approached the introduction of accounting systems in the public sector in terms of enforcing and sustaining competition-based resource allocation mechanisms. In this study, we reverse the question and ask: why has accounting not been used in certain public bureaucracies as much as it might? We investigate the extent to which accounting systems have been used in the management of the Greek National Health System (ESY) and find that accounting has played a marginal role in its development. Attempting to explain this puzzling feature we first note and then contrast the main underlying features of accounting systems with those of the Greek political system in general, and ESY in particular. Briefly, our explanation is that the historically high politicization that has characterized the Greek political system has tended to over-shadow the economic-cum-managerial dimension of running public bureaucracies, favouring overtly political evaluation criteria of organizational and individual performance. In such an institutional environment, accounting has low symbolic significance and its use does not contribute to enhancing organizational legitimacy - hence its marginal role.