Bureaucracy and the balanced scorecard in health care settings.
Int J Health Care Qual Assur
; ahead-of-print(ahead-of-print)2020 Apr 08.
Article
em En
| MEDLINE
| ID: mdl-32255278
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.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Objetivos Organizacionais
/
Garantia da Qualidade dos Cuidados de Saúde
/
Administração de Serviços de Saúde
/
Modelos Organizacionais
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Humans
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article