Deakin University
Browse

File(s) under permanent embargo

Doctors under the microscope: the birth of medical audit

journal contribution
posted on 2013-01-01, 00:00 authored by W Jackson, A Paterson, C Pong, Simona ScarparoSimona Scarparo
In 1989 a UK government White Paper introduced medical audit as a comprehensive and statutory system of assessment and improvement in quality of care in hospitals. A considerable body of research has described the evolution of medical audit in terms of a struggle between doctors and National Health Service managers over control of quality assurance. In this paper we examine the emergence of medical audit from 1910 to the early 1950s, with a particular focus on the pioneering work of the American surgeons Codman, MacEachern and Ponton. It is contended that medical professionals initially created medical audit in order to articulate a suitable methodology for assessing individual and organisational performance. Rather than a means of protecting the medical profession from public scrutiny, medical auditing was conceived and operationalised as a managerial tool for fostering the active engagement of senior hospital managers and discharging public accountability. These early debates reveal how accounting was implicated in the development of a system for monitoring and improving the work of medical professionals, advancing the quality of hospital care, and was advocated in ways, which included rather than excluded managers.

History

Journal

Accounting history review

Volume

23

Pagination

23-47

Location

Abingdon, Eng.

ISSN

2155-2851

eISSN

2155-286X

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2013, Taylor & Francis

Issue

1

Publisher

Taylor & Francis