Purpose

This study aims to understand how Big Data foster a greater acceptance of performance management systems (PMS) discourses in health care.

Design/methodology/approach

This paper focusses on the case of head and neck cancer treatment and prevention and benefits from the analysis of archival sources and 19 interviews with physicians in the field. It uses the framework of the Middle Range theory (MRT) to understand whether, in the case of head and neck cancer, Big Data may favour the enactment of PMS discourses in health care, in turn benefiting from any improvement in PMS.

Findings

This study setting unveils the changing pathway known as reorientation through boundary management. Medical professionals internalized and even mobilized PMS discourses, showing the premises for evolutionary changes in the future, when the current limitations will be dealt with.

Originality/value

This paper offers new theoretical, practical and policymaking insights into how new technologies can foster positive PMS discourses among actors who usually resist them. This value also extends to different fields and contexts.

中文翻译：

---

促进医疗保健绩效管理：洞察大数据的作用

目的

本研究旨在了解大数据如何促进医疗保健领域对绩效管理系统 (PMS) 话语的更大接受。

设计/方法/方法

本文重点介绍了头颈癌治疗和预防的案例，并从档案来源分析和对该领域医生的 19 次采访中获益。它使用中间范围理论 (MRT) 的框架来了解在头颈癌的情况下，大数据是否可能有利于 PMS 话语在医疗保健中的制定，进而受益于 PMS 的任何改善。

发现

该研究设置揭示了称为通过边界管理重新定位的不断变化的途径。医学专业人士内化甚至动员了 PMS 话语，展示了未来进化变化的前提，届时将处理当前的局限性。

原创性/价值

本文提供了新的理论、实践和决策见解，以了解新技术如何在通常抵制新技术的行为者之间培养积极的 PMS 话语。此值还扩展到不同的字段和上下文。