Casemix Management in a New Zealand Hospital: Rationalisation and Resistance

This paper discusses the use of a ‘casemix’ information system to rationalise and scrutinise clinical activity in a corporatised New Zealand hospital. The implementation of the casemix system was part of a management strategy to influence clinician behaviour by making visible the financial implications of clinical decisions. Clinicians were able to resist the application of this comparative surveillance system by challenging or diverting the information produced.