The Institutional Construction of Consumerism: A Study of Implementing Quality Indicators
本文批判性分析挪威医疗部门中消费主义兴起与绩效测量实践发展的关联，运用新制度理论探讨不同行动者如何争夺对质量指标的主导权，对理解公共部门如何将消费主义转化为监管模型有参考价值。
This paper provides a critical analysis of the linkages between rising consumerism and the development of performance measurement practices in the Norwegian health care sector. Addressing this issue, we draw on Hensman’s (2003) conceptual framework, based on a socio-political perspective on ideology change. On a more meta-level we use neo-institutional theory, in which specific attention is paid to the interplay between different actors competing to dominate with their view of the aim of the newly implemented national quality indicators, the strategic discourse used to legitimize their actions and the unfolding (re)construction of performance measurement practices. The study thus provides insights into the problem of translating consumerism notions into models used by the public sector to regulate the organization from the consumer’s choice. We also find support for several of Hensman’s propositions, particularly those pertaining to the different phases of strategy formation.