Bureaucracy and the balanced scorecard in health care settings.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2020-04-08 DOI:10.1108/IJHCQA-07-2019-0121

Helena Costa Oliveira, Lúcia Lima Rodrigues, Russell Craig

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引用次数: 13

Abstract

Purpose: We explore the relationship between the balanced scorecard (BSC) and neo-bureaucracy by investigating whether the operationalization of the BSC incorporates "neo-bureaucratic" ideas and whether the BSC implemented in a Portuguese Local Health Unit (LHU) demonstrates a neo-bureaucratic approach.

Design/methodology/approach: We conduct semi-structured interviews with LHU staff and analyse documents to assess whether features of bureaucratic organization were evident in the use of a BSC by the LHU.

Findings: We found nine bureaucratic features evident in the LHU's BSC. These were systematization, rationality, authority, jurisdiction, professional qualification, knowledge, discipline, transparency and accountability. The BSC used at the LHU demonstrated a neo-bureaucratic approach.

Originality/value: Our study helps to demystify bureaucracy and overcome prevailing prejudices regarding some of its principles. Health care managers should recognize and endorse neo-bureaucratic principles in developing a BSC. They should recognize the BSC as involving a neo-bureaucratic approach. The BSC is a valuable management tool that hospital managers should find useful in fostering flexibility, collaboration, innovation and adaptation - all of which should help lead to improved healthcare outcomes.

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卫生保健机构中的官僚主义和平衡计分卡。

目的:我们探讨平衡计分卡(BSC)与新官僚主义之间的关系，通过调查平衡计分卡的运作是否包含“新官僚主义”思想，以及在葡萄牙地方卫生单位(LHU)实施的平衡计分卡是否体现了新官僚主义方法。设计/方法/方法:我们与LHU员工进行半结构化访谈，并分析文件，以评估LHU在使用平衡计分卡时官僚组织的特征是否明显。结果:我们在LHU的平衡计分卡中发现了九个明显的官僚主义特征。它们是系统化、合理性、权威、管辖权、专业资格、知识、纪律、透明度和问责制。LHU使用的平衡记分卡展示了一种新官僚主义的方法。原创性/价值:我们的研究有助于揭开官僚主义的神秘面纱，并克服有关其某些原则的普遍偏见。在制定平衡记分卡时，卫生保健管理人员应承认并支持新官僚主义原则。他们应该认识到平衡计分卡涉及一种新官僚主义方法。平衡记分卡是一种有价值的管理工具，医院管理者应该发现它在促进灵活性、协作、创新和适应方面很有用——所有这些都应该有助于改善医疗保健结果。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.