Medical professionals' responses to a DRG performance management system for hospital care in the Netherlands: Reinterpreting ‘perverse effects’, such as upcoding and patient selection, using arguments of professionalism and managerialism

Performance management systems are considered a key instrument for steering the performance of public sector organizations. Yet, little empirical insight exists on how public-sector professionals use these systems in practice. We know even less about why they use these systems as they do. For instance, most literature on performance management...