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

IF 3.2 2区经济学 Q1 ECONOMICS

Socio-Economic Review Pub Date : 2023-02-21 DOI:10.1093/ser/mwad005

E. Engelen, Mayra Mosciaro, M. Kaika

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引用次数: 1

Abstract

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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像经济学家一样看待：以荷兰医疗改革为例，将职业及其认识论带回新经济社会学领域

本文仔细审查了荷兰医疗保健市场体系，为围绕理性构建的市场可以按照原计划发展的程度的辩论提供了经验基础。专注于一个特定的定价装置，我们记录了嵌入其设计中的感知经济“合理性”如何受到日常实践中不可预见和不可预料的“非理性”的挑战。我们追踪了医疗保健专业人员如何开发非正式的方式来适应嵌入该设备的规则和期望，从而导致威胁荷兰医疗保健质量和可及性的“反性能”形式。本文的主要理论贡献是通过利用詹姆斯·斯科特和职业社会学的见解，将人们的注意力吸引到不同职业的独特认识论上，弥合了“基于行动者网络理论的经济社会学”与其强调(反)表演性和装置的代理之间的差距。这些变化建立在韦伯、涂尔干和布迪厄的旧欧洲大陆变化之上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Socio-Economic Review Multiple-

CiteScore

6.80

自引率

10.80%

发文量

期刊介绍： Originating in the Society for the Advancement of Socio-Economics (SASE), Socio-Economic Review (SER) is part of a broader movement in the social sciences for the rediscovery of the socio-political foundations of the economy. Devoted to the advancement of socio-economics, it deals with the analytical, political and moral questions arising at the intersection between economy and society. Articles in SER explore how the economy is or should be governed by social relations, institutional rules, political decisions, and cultural values. They also consider how the economy in turn affects the society of which it is part, for example by breaking up old institutional forms and giving rise to new ones. The domain of the journal is deliberately broadly conceived, so new variations to its general theme may be discovered and editors can learn from the papers that readers submit. To enhance international dialogue, Socio-Economic Review accepts the submission of translated articles that are simultaneously published in a language other than English. In pursuit of its program, SER is eager to promote interdisciplinary dialogue between sociology, economics, political science and moral philosophy, through both empirical and theoretical work. Empirical papers may be qualitative as well as quantitative, and theoretical papers will not be confined to deductive model-building. Papers suggestive of more generalizable insights into the economy as a domain of social action will be preferred over narrowly specialized work. While firmly committed to the highest standards of scholarly excellence, Socio-Economic Review encourages discussion of the practical and ethical dimensions of economic action, with the intention to contribute to both the advancement of social science and the building of a good economy in a good society.