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Rational judgement revisited: Practices of deliberation in healthcare funding decisions
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Gkeredakis, Emmanouil, Swan, Jacky, Nicolini, Davide and Scarbrough, Harry (2011) Rational judgement revisited: Practices of deliberation in healthcare funding decisions. In: Organizational Learning, Knowledge and Capabilities Conference, Hull University Business School, 12-14th April 2011. Published in: Proceedings of the Organizational Learning, Knowledge and Capabilities Conference
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Abstract
In this paper, we aim at exploring how rationality may become a practical accomplishment. We maintain that it is not known or adequately understood how organisational actors may actually produce ‘rational judgement’ in practice. We thus examined a context where actors seek to be purposefully rational when making healthcare funding decisions. Building on a focused ethnography of decision making in
the English National Health Service (NHS), we provide an account of how rational judgement is dynamically pursued and accomplished in practice. We show that, for rational judgement to be constructed in this context, organisational actors perform three kinds of interrelated activities: performing procedural requirements, making sense of
decision cases and deliberating the merits of cases on the basis of public reasons. Our paper makes an important contribution to our understanding of organisational
knowledge and learning by unpacking how rationality is sought and performed in actual organisational situations, and by altering our existing image of rationality. Instead of treating rationality as a ‘grand concept’ or metaphysical logic, our paper elucidates how a specific form of rationality – grounded in common (political) convictions of fairness and the common good(s) – is produced in organisations through practices of deliberation.
Item Type: | Conference Item (Paper) | ||||
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Subjects: | H Social Sciences > HJ Public Finance R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Social Sciences > Warwick Business School > Innovation, Knowledge & Organisational Networks Research Unit Faculty of Social Sciences > Warwick Business School > Industrial Relations & Organisational Behaviour Faculty of Social Sciences > Warwick Business School |
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Journal or Publication Title: | Proceedings of the Organizational Learning, Knowledge and Capabilities Conference | ||||
Official Date: | 2011 | ||||
Dates: |
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Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Conference Paper Type: | Paper | ||||
Title of Event: | Organizational Learning, Knowledge and Capabilities Conference | ||||
Type of Event: | Conference | ||||
Location of Event: | Hull University Business School | ||||
Date(s) of Event: | 12-14th April 2011 |
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