Financializing Healthcare and Infrastructures of Social Reproduction: How to Bankrupt a Hospital and be Unprepared for a Pandemic

Mosciaro, Mayra; Kaïka, Maria; Engelen, Ewald

doi:10.1017/s004727942200023x

Cited by 2 publications

(2 citation statements)

References 41 publications

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“…As we saw in both cases, the executives tried to stabilise the network in the mobilisation phase (Callon, 1986) and execute plans to save the healthcare organisation, with or without the help of the banks and health insurers. The commitment of financial parties was important for a good ending, although executives still had some agency left (Mosciaro et al., 2022). Executives had to deal with networks being tested and there was the constant threat of different actors becoming alienated.…”

Section: Resultsmentioning

confidence: 99%

“…This new regime requires its own financial expertise, working culture, new infrastructures and job positions. Financialisation has introduced concepts such as financial risks by adopting forms of debt financing and led to a new perspective on healthcare services as financial products (Appelbaum & Batt, 2021; Benoît, 2023; Cordilha, 2021; Hunter & Murray, 2019; Mosciaro et al., 2022; Vural, 2017). Processes of financialisation are observed in many different countries, with different health systems ranging from public to private and everything in between.…”

Section: Financial Distress and Bankruptcies In A Financialised Healt...mentioning

confidence: 99%

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For better or worse: Governing healthcare organisations in times of financial distress

van Dijk,

Felder,

Janssen

et al. 2023

Sociology Health & Illness

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Due to processes of financialisation, financial parties increasingly penetrate the healthcare domain and determine under which conditions care is delivered. Their influence becomes especially visible when healthcare organisations face financial distress. By zooming‐in on two of such cases, we come to know more about the considerations, motives and actions of financial parties in healthcare. In this research, we were able to examine the social dynamics between healthcare executives, banks and health insurers involved in a Dutch hospital and mental healthcare organisation on the verge of bankruptcy. Informed by interviews, document analysis and translation theory, we reconstructed the motives and strategies of executives, banks and health insurers and show how they play a crucial role in decision‐making processes surrounding the survival or downfall of healthcare organisations. While parties are bound by legislation and company procedures, the outcome of financial distress can still be influenced. Much depends on how executives are perceived by financial stakeholders and how they deal with threats of destabilisation of the network. We further draw attention to the consequences of financialisation processes on the practices of healthcare organisations in financial distress.

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Section: Resultsmentioning

confidence: 99%

Section: Financial Distress and Bankruptcies In A Financialised Healt...mentioning

confidence: 99%

For better or worse: Governing healthcare organisations in times of financial distress

van Dijk,

Felder,

Janssen

et al. 2023

Sociology Health & Illness

View full text Add to dashboard Cite

show abstract

Seeing like an economist: using the case of Dutch healthcare reform to bring professions and their epistemologies back in the field of new economic sociology

Engelen

Mosciaro

Kaïka

2023

Socio-Economic Review

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The article scrutinizes the Dutch healthcare market system to provide empirical grounding to the debates around the extent to which rationally constructed markets can develop as originally planned. Focusing on one specific pricing device, we document how the perceived economic ‘rationalities’ embedded in its design are challenged by the unforeseen and unanticipated ‘irrationalities’ of daily practices. We trace how healthcare professionals developed informal ways to adapt to the rules and expectations embedded in that device, resulting in forms of ‘counter performativity’ that threaten the quality and accessibility of Dutch healthcare. The main theoretical contribution of the article is to bridge the gap between ‘Actor Network Theory-based economic sociology’ and its emphasis on (counter-) performativity and the agency of devices with the older European continental inflections building on Weber, Durkheim and Bourdieu, by drawing attention to the distinct epistemologies of different professions, using insights from James Scott and the sociology of the professions.

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Financializing Healthcare and Infrastructures of Social Reproduction: How to Bankrupt a Hospital and be Unprepared for a Pandemic

Cited by 2 publications

References 41 publications

For better or worse: Governing healthcare organisations in times of financial distress

For better or worse: Governing healthcare organisations in times of financial distress

Seeing like an economist: using the case of Dutch healthcare reform to bring professions and their epistemologies back in the field of new economic sociology

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