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In and Out of the Rabbit Hole with Alice: Assessing the Consequences of Efficiency Prescriptions
Abstract
An analysis of productive & allocative efficiency in social &
health services, including concepts, measurements, &
implementation effects. The potential tension between economic
prescriptions & social systems behavior is discussed, especially
the tendency for efficiency theory to operate as a formalistic,
self-referential system. It is proposed that although efficiency
theory appears to exemplify rationality, it is not organizationally
embedded, nor is it robust enough to model organizational processes.
Examined here are implementation, side effects, & the
organizational & social costs of efficiency principles. 41
References. AA
Journal
(1991)
vol15
no1-2
pages175-192
Categories
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Evaluation and Information Management
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Accountability and Efficiency