Davllyn Santos Oliveira dos Anjos, Magda Duarte dos Anjos Scherer, Juliana Leal Ribeiro Cantalino, E. N. da Silva
{"title":"Pay for performance in Brazilian primary health care: quality of work processes, actions and services","authors":"Davllyn Santos Oliveira dos Anjos, Magda Duarte dos Anjos Scherer, Juliana Leal Ribeiro Cantalino, E. N. da Silva","doi":"10.1108/ijpsm-01-2023-0022","DOIUrl":"https://doi.org/10.1108/ijpsm-01-2023-0022","url":null,"abstract":"PurposeIn 2011, Brazil introduced a national pay-for-performance (P4P) scheme called the National Program for Improving Primary Health Care Access and Quality (PMAQ), rolled out over three cycles and reaching more than 5,000 municipalities and 40,000 family health teams (FHTs). There is little evidence on how the PMAQ was implemented locally and whether this variation in implementation affects performance, particularly, in terms of work process indicators. This study compared different cases of municipal-level PMAQ implementation (bonuses paid or not to FHTs) over the last two program cycles to analyze the quality of the work processes, actions and services of FHTs.Design/methodology/approachThis was a cross-sectional analytical study using secondary data from an external evaluation of the Brazilian PMAQ. In total, 27,500 FHTs participated in the evaluation. They were divided into four clusters based on whether or not municipalities paid bonuses to workers during cycles 2 and 3 of the program (2013–2019). Variables regarding work processes, actions and services were classified as “Quality Assurance – QA” or “Continued Quality Improvement – CQI”, and an individual score was assigned based on the average score of each variable.FindingsThe four clusters displayed an increase in overall QA and CQI scores between the two program cycles; though this increase was small between the set of primary health care teams that received bonuses and those that did not.Originality/valueThis paper contributes to bridging the gap in the scientific literature for evaluative studies on the relationship between direct payment for performance to health professionals and better quality actions and services in low and middle-income countries.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45395130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pay-for-performance in healthcare provision: the role of discretion in policy implementation in Turkey","authors":"Puren Aktas, J. Hammond, L. Richardson","doi":"10.1108/ijpsm-12-2022-0282","DOIUrl":"https://doi.org/10.1108/ijpsm-12-2022-0282","url":null,"abstract":"PurposeNew Public Management-informed pay-for-performance policies are common in public sectors internationally but can be controversial with delivery agents. More attention is needed on contingent forms of bottom-up implementation of challenging policies, in emerging market economies, for professionals who face tensions between policies and their codes of practice. Street-level bureaucrats (SLBs) mediate policy implementation through discretionary practices; health professionals have enhanced space for discretion based on autonomy derived from professional status. The authors explore policy implementation, adaptation and resistance by physicians, focusing on payments for health workers in Turkey.Design/methodology/approachThe researchers conducted semi-structured qualitative interviews with 12 physicians in Turkish hospitals and thematic analysis of interview transcripts, using a blended (deductive and inductive) approach.FindingsThe policy fostered discretionary behaviours such as cherry-picking (high volume, low risk procedures) and pro-social rule-breaking (e.g. “upcoding”), highlighting clinical autonomy to navigate within policy restrictions. Respondents described damage to relationships with patients and colleagues, and dissonance between professional practice and perverse policy incentives, sometimes leading to disengagement from clinical work. Policymakers were perceived to be detached from the realities experienced by SLBs. Tensions between the policy and professional values risked alienating physicians.Research limitations/implicationsThis study utilises participant self-reported perceptions of discretionary behaviours. Further work may adopt alternative methods to explore the relationship between self-reporting and observed practice.Originality/valueThe authors contribute to research on differentiated, contingent roles of groups with high scope for discretion in bottom-up implementation, pointing to the potential for policy-professional role conflicts between top-down P4P policies, and the values and codes of practice of professional SLBs.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49662663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does my boss’s boss matter? Examining the effects of teleworking and manager quality on employee job satisfaction during the COVID-19 pandemic","authors":"Andrew Wesemann","doi":"10.1108/ijpsm-12-2022-0290","DOIUrl":"https://doi.org/10.1108/ijpsm-12-2022-0290","url":null,"abstract":"PurposeThis study explicitly explores the moderating role of management quality, at multiple organizational levels, in the relationship between telework and job satisfaction.Design/methodology/approachThis study employs fixed effects regression with clustered robust standard errors at the departmental level to account for the multilevel nature of the data.FindingsThe results of fixed effects analyses suggest that when the quality of one's direct supervisor and the quality of their supervisor's manager is high, the relationship between job satisfaction and telework frequency becomes stronger and positive.Originality/valueThis research illuminates the crucial moderating role of management quality at multiple organizational levels in the relationship between telework and employee job satisfaction during an unprecedented workforce shock.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47541502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Wirawan, R. Salam, Normawati Normawati, V. Paramarta, Denok Sunarsi
{"title":"Predicting turnover intention in Indonesian public organisations: investigating the effect of citizen and workplace incivility, and job insecurity","authors":"H. Wirawan, R. Salam, Normawati Normawati, V. Paramarta, Denok Sunarsi","doi":"10.1108/ijpsm-06-2021-0141","DOIUrl":"https://doi.org/10.1108/ijpsm-06-2021-0141","url":null,"abstract":"PurposeThis study aimed to investigate the effect of citizens' uncivil behaviours on the turnover intention of public service personnel. It tested the moderated mediation role of job insecurity and workplace incivility. The conservation of resource (COR) theory was employed to explain the public service personnel's reactions to resource loss threats and the desire to conserve the remaining resources.Design/methodology/approachA longitudinal quantitative study design was used with a moderated mediation regression technique. Data were collected from 235 full-time public service personnel from five Indonesian public service organizations. The organizations included higher education, regional government institutions, and health, tourism, and transportation departments. All measures were valid and reliable for study purposes.FindingsThe citizen incivility's effect on turnover intention was mediated by job insecurity and moderated by workplace incivility. Citizen incivility positively influenced job insecurity only under high workplace incivility. Therefore, citizens' uncivil behaviours could not increase public service personnel's job insecurity and turnover intention without high workplace incivility.Originality/valueThis study contributes to the literature on citizens' incivility as a source of social stressors in Indonesian public organizations. The findings showed that citizens' hostile behaviours impact public employees' job insecurity only through workplace incivility.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":"1 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41887163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transformational leadership and job performance of Maldives Civil Service employees, mediated by organisational commitment","authors":"Aminath Sudha, S. Azam, J. Tham","doi":"10.1108/ijpsm-09-2022-0198","DOIUrl":"https://doi.org/10.1108/ijpsm-09-2022-0198","url":null,"abstract":"PurposeEmerging research on public administration theory has highlighted the need for public sector managers to become better leaders by inspiring and motivating them to align themselves with their organisation's mission and vision. Therefore, transformational leadership has become increasingly appealing in public administration. This study investigates how transformational leadership affects the job performance of those in the Maldives' civil service. Furthermore, it tests the mediation effect of organisational commitment on the relationship between transformational leadership and the job performance of those working in the Maldives' civil service.Design/methodology/approachThis study adopted a quantitative and cross-sectional design to collect data from 370 employees from different Maldives civil service offices. Data were collected through an online questionnaire, and structural equation modelling was used to test the hypotheses. The mediating effect was tested using bootstrapping.FindingsThe results reveal that transformational leadership did not significantly affect job performance. While a mediation effect was present, the effect size was within a small range.Originality/valueThe results of this study has important implications for the Maldives' civil service from a human resource management perspective and provides insights to policymakers on how to improve leadership in Maldives' civil service institutions. Furthermore, this study contributes significantly to the existing research in understanding the effect of transformational leadership on public sector organisations in Asia and from a developing country's perspective.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49480581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing public managers' reflective thinking through continuing management education","authors":"A. Thomassen","doi":"10.1108/ijpsm-01-2022-0015","DOIUrl":"https://doi.org/10.1108/ijpsm-01-2022-0015","url":null,"abstract":"PurposeThe aim of this paper is to outline how public managers' reflective thinking capacity is developed through integration of education and practice using a real-life organizational problem as the educational starting point. Managers' reflective thinking capacity becomes important due to an increasing organizational complexity and the growing trend of introducing post-new public management paradigms.Design/methodology/approachInspired by Brinkmann's (2012) approach to the inquiry on everyday life materials, semi-structured interviews were conducted with public managers taking a public management program. A phenomenologically inspired content analysis was applied in the process of scrutinizing the findings, subsequently informing the discussion on the development of problem solving through public management education.FindingsThe analysis indicates that the managers' pre-understanding of continuing education at the university level, managers' personal objectives, along with a growing experience with and insights into problem-based learning (PBL), appear to facilitate managers' integration of theory and practice. As revealed in this paper, an inquiry that integrates daily organizational practice and theoretical models and terms, as the origin of the personal development module, seems to facilitate managers' reflective thinking and self-reflexivity.Originality/valueThis paper illustrates that learning processes facilitated by seminars like the personal development module (PDM) not only facilitates the development of reflective thinking, but managers also seem to develop competencies in self-reflexivity – the latter being an underdeveloped element of Dewey's (1933) notion of reflective thinking. Thus, further theoretical and empirical research is needed to explore the potentials of developing a pragmatically inspired notion that offers an understanding of managers' self-reflexivity. By inquiring about managerial puzzlements through a personal development lens, a self-reflective focus adds to the Dewey-inspired approach to reflective thinking.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44466910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of management education in adapting the Indian public sector to market-based economic reforms","authors":"N. Prakash, Aparna Hawaldar","doi":"10.1108/ijpsm-01-2022-0003","DOIUrl":"https://doi.org/10.1108/ijpsm-01-2022-0003","url":null,"abstract":"PurposeIn 1991, India embarked on market-based economic reforms initiatives pillared on liberalization, privatization and globalization (LPG). The reforms exposed the public sector enterprises to competitive market forces, raising the need to identify and develop the competencies necessary for survival. Executive training programs were initiated to prepare public enterprises for the market-based reforms. Three decades later, the reforms especially privatization is witnessing renewed interest under the current administration. In this context, the article takes a closer look at the structure of management education provided to public sector officers in India. The article also identifies barriers for implementing the learnings from the management courses in the workplaces and suggests approaches for closing the gap.Design/methodology/approachThe study follows a thematic approach based on unstructured interviews of senior executives of Indian public sector enterprises covering oil and gas, aeronautical, power and transportation sectors. New public management (NPM) is used as a yardstick of “business-like” characteristics of public sector enterprises.FindingsDespite heavy investment, trainings have had only partial success in implementing the core objective of NPM, i.e. to provide quality services in a professional manner to meet citizen requirements. The study found that though concepts of NPM are introduced at multiple management training programs, the public enterprises lag in the implementation of NPM. The ingrained hierarchical and procedural culture of the enterprises was often highlighted as the challenge to its implementation.Practical implicationsThe study will be of significance to Indian policymakers in designing management education programs to public sector employees. It brings out – (1) various models of management education provided to public servants across industries, (2) provide evidence on the extent of NPM implementation, (3) identify barriers for transitioning the learnings from the management courses to workplace and (4) suggest changes for improving effectiveness.Originality/valueThe existing research on LPG in India covers the economic transformation post-implementation and the factors contributing to the success of its implementation. This study adds to the limited literature available on the management education of public servants in the country.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48014795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pranakusuma Sudhana, N. Noermijati, Ananda Sabil Hussein, N. Khusniyah Indrawati
{"title":"A moderated mediation analysis of the low enrollment intention at international higher education in Indonesia","authors":"Pranakusuma Sudhana, N. Noermijati, Ananda Sabil Hussein, N. Khusniyah Indrawati","doi":"10.1108/ijpsm-12-2021-0271","DOIUrl":"https://doi.org/10.1108/ijpsm-12-2021-0271","url":null,"abstract":"PurposeThis paper aims to analyze the relationship between the brand awareness of an international university operating in Indonesia and enrollment intention serially mediated by brand congruity and brand attitude and moderated by brand experience.Design/methodology/approachA moderated serial mediation model was developed and was tested using the partial least squares structural equation modeling (PLS-SEM) to examine the proposed relationship. There were 132 prospective students involved as respondents.Findings(1) brand awareness may not always directly affect purchase intention; (2) brand congruity and brand attitude serially mediate the relationship between brand awareness and enrollment intention; (3) brand experience may not always moderate the relationship between brand awareness and consumer behavior.Research limitations/implicationsThis paper considers generalizability as its limitation with suggestions to undertake future studies in other settings and the longitudinal and broader scope. Future research could examine other variables to enhance the model.Practical implicationsThis paper also proposes theoretical and managerial implications in higher education branding and marketing.Originality/valueThis study closed the gap in the unsuccessful relationship between brand awareness and behavioral intention that the mediating variables of brand congruity and brand attitude must be serially present. This study also confirmed that brand experience is not empirically suitable as a moderator.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44059385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How citizen coproducers cope with public value creation conflicts: a survey experiment","authors":"S. Jaspers, K. Migchelbrink","doi":"10.1108/ijpsm-04-2022-0089","DOIUrl":"https://doi.org/10.1108/ijpsm-04-2022-0089","url":null,"abstract":"PurposeIn coproduction, citizens may be confronted with a conflict between creating user value and a more collective understanding of public value creation. In order to deal with conflicts experienced as trade-off situations, coproducers follow various coping strategies leading to different results. This study aims to gain insight into what drives the choices for coping strategies, which are valuable for understanding the role of citizen coproducers in public value creation.Design/methodology/approachThis article studies the effects of citizens' external efficacy and trust in public servants on citizen coproducers' preferences for coping strategies. The study presents a vignette experiment among n = 257 citizens involved in the temporary use of vacant spaces in Flanders, Belgium.FindingsNo statistically significant effects of external efficacy and trust in public servants on respondents' preferences for coping strategies are found. The results show that irrespective of the level of external efficacy or trust in public servants, citizen coproducers prefer to ask for help from the public servant involved in the project.Originality/valueThis result draws attention to the need for facilitation and guidance from public servants and the servants' organizations to help citizen coproducers balance out these otherwise paralyzing value conflicts. Moreover, the lack of statistically significant effects of trust and external efficacy is a valuable finding for literature. The result shows that, in the drivers of coproduction behavior, there is no consistent relationship between citizen trust in government or external efficacy and coproduction behavior.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49520450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Administrative capacity and local level development in metropolitan, municipal and district assemblies in Ghana: mediating role of resource capacity","authors":"E. Annan-Prah, R. P. Andoh","doi":"10.1108/ijpsm-07-2022-0168","DOIUrl":"https://doi.org/10.1108/ijpsm-07-2022-0168","url":null,"abstract":"PurposeThis study aims to examine the mediating role of resource capacity on the effect of administrative capacity on local level development.Design/methodology/approachData is obtained from three Metropolitan, Municipal and District Assemblies (MMDAs) in the Central Region of Ghana using a survey. A structural equation modelling that includes a formatively measured construct (administrative capacity) is used in the analyses.FindingsLeadership, human resource management, financial resource management, technical and adaptive capacities are supported as formative constructs of administrative capacity. More so, it is established that administrative capacity has an effect on resource capacity. Also, administrative capacity and resource capacity each has an effect on local level development. The mediation analysis shows that resource capacity mediates the effect administrative capacity has on local level development.Practical implicationsAdministrative capacity is a necessity for local governments as enhancing it together with the resource capacity of MMDAs are vital if local level development is to be achieved. In this regard, administrative and resource capacities of local governments must be pursued by both the central government and decentralised governments for the latter to achieve its primary mandate.Originality/valueTo the best of our knowledge, this is the first study to empirically ascertain leadership, human resource management, financial resource management, technical and adaptive capacities as the dimensions of administrative capacity using a structural equation model. Given that there is a lack of consensus on the dimensions of administrative capacity, this study contributes significantly to the discourse. The study also highlights the need to pursue and enhance administrative and resource capacities for local level development.","PeriodicalId":47437,"journal":{"name":"International Journal of Public Sector Management","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43264062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}