IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i5p2732-d512992.html
   My bibliography  Save this article

The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management

Author

Listed:
  • Sabina Nuti

    (Management and Health laboratory, Institute of Management—Department Embeds, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy)

  • Guido Noto

    (Department of Economics, University of Messina, 98122 Messina, Italy)

  • Tommaso Grillo Ruggieri

    (Progettazione e Sviluppo del Sistema Informativo, Gestione dei DWH e dei Sistemi Decisionali, 16121 Genoa, Italy)

  • Milena Vainieri

    (Management and Health laboratory, Institute of Management—Department Embeds, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy)

Abstract

In the last decades, public management has been subjected to a shift from the New Public Management (NPM) paradigm to the Public Value Management (PVM) one. Thus, management practices such as Planning and Control (P&C) systems have been called to evolve accordingly. The health care sector has not escaped this process. This paper focuses on the evolution of hospitals’ P&C systems to support the paradigm shift from the NPM paradigm to the PVM one. In particular, the paper aims at exploring whether hospitals’ P&C systems in Italy evolved, or are evolving, consistently with PVM and what are the expected benefits related to such a paradigm switch. To address the research aim, the paper is based on a review of scientific and grey literature and the case study of the diabetic-foot pathway in an Italian Regional Healthcare System. The results of this study show that the current P&C systems in Italian hospitals are not yet designed to support the shift toward the PVM approach and are still mainly focused on financial aspects and intra-organizational dynamics. Combining traditional P&Cs with performance measures assessing the system’s outcomes may support hospitals in aligning their goals with the health system they are operating within and, therefore, P&C systems may represent an important driving force toward change. Such results provide suggestions for both practitioners and academics on how to adapt P&C systems to better support the implementation of current strategies of the public sector.

Suggested Citation

  • Sabina Nuti & Guido Noto & Tommaso Grillo Ruggieri & Milena Vainieri, 2021. "The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2732-:d:512992
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/5/2732/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/5/2732/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Vola, Federico & Vinci, Bruna & Golinelli, Davide & Fantini, Maria Pia & Vainieri, Milena, 2020. "Harnessing pharmaceutical innovation for anti-cancer drugs: Some findings from the Italian regions," Health Policy, Elsevier, vol. 124(12), pages 1317-1324.
    2. Milena Vainieri & Guido Noto & Francesca Ferre & Laura C. Rosella, 2020. "A Performance Management System in Healthcare for All Seasons?," IJERPH, MDPI, vol. 17(15), pages 1-10, August.
    3. Ancarani, A. & Di Mauro, C. & Giammanco, M.D., 2009. "The impact of managerial and organizational aspects on hospital wards' efficiency: Evidence from a case study," European Journal of Operational Research, Elsevier, vol. 194(1), pages 280-293, April.
    4. Macinati, Manuela S. & Rizzo, Marco G., 2014. "Budget goal commitment, clinical managers’ use of budget information and performance," Health Policy, Elsevier, vol. 117(2), pages 228-238.
    5. Bravi, F. & Gibertoni, D. & Marcon, A. & Sicotte, C. & Minvielle, E. & Rucci, P. & Angelastro, A. & Carradori, T. & Fantini, M.P., 2013. "Hospital network performance: A survey of hospital stakeholders’ perspectives," Health Policy, Elsevier, vol. 109(2), pages 150-157.
    6. David Naranjo-Gil & María Jesús Sánchez-Expósito & Laura Gómez-Ruiz, 2016. "Traditional vs. Contemporary Management Control Practices for Developing Public Health Policies," IJERPH, MDPI, vol. 13(7), pages 1-13, July.
    7. Nuti, Sabina & Vola, Federico & Bonini, Anna & Vainieri, Milena, 2016. "Making governance work in the health care sector: evidence from a ‘natural experiment’ in Italy," Health Economics, Policy and Law, Cambridge University Press, vol. 11(1), pages 17-38, January.
    8. Emanuele Padovani & Rebecca L. Orelli & David W. Young, 2014. "Implementing Change in a Hospital Management Accounting System," Public Management Review, Taylor & Francis Journals, vol. 16(8), pages 1184-1204, November.
    9. Seghieri, Chiara & Berta, Paolo & Nuti, Sabina, 2019. "Geographic variation in inpatient costs for Acute Myocardial Infarction care: Insights from Italy," Health Policy, Elsevier, vol. 123(5), pages 449-456.
    10. Noto, Guido & Belardi, Paolo & Vainieri, Milena, 2020. "Unintended consequences of expenditure targets on resource allocation in health systems," Health Policy, Elsevier, vol. 124(4), pages 462-469.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chiara Seghieri & Francesca Ferrè & Elisa Foresi & Alice Borghini, 2023. "Healthcare costs of diabetic foot disease in Italy: estimates for event and state costs," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(2), pages 169-177, March.
    2. Domenico Raucci & Manuela Paolini, 2022. "Informazioni budgetarie e prospettive di Behavioral Management Accounting nelle aziende sanitarie pubbliche italiane," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2022(2), pages 117-139.
    3. Jamieson Gilmore, Kendall & Corazza, Ilaria & Coletta, Lucrezia & Allin, Sara, 2023. "The uses of Patient Reported Experience Measures in health systems: A systematic narrative review," Health Policy, Elsevier, vol. 128(C), pages 1-10.
    4. Iveta Vrabková & Ivana Vaňková, 2021. "Efficiency of Human Resources in Public Hospitals: An Example from the Czech Republic," IJERPH, MDPI, vol. 18(9), pages 1-14, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. De Rosis, Sabina & Guidotti, Elisa & Zuccarino, Sara & Venturi, Giulia & Ferré, Francesca, 2020. "Waiting time information in the Italian NHS: A citizen perspective," Health Policy, Elsevier, vol. 124(8), pages 796-804.
    2. Paolo Belardi & Ilaria Corazza & Manila Bonciani & Fabio Manenti & Milena Vainieri, 2022. "Evaluating Healthcare Performance in Low- and Middle-Income Countries: A Pilot Study on Selected Settings in Ethiopia, Tanzania, and Uganda," IJERPH, MDPI, vol. 20(1), pages 1-18, December.
    3. L-J Kao & C-C Lu & C-C Chiu, 2011. "The training institution efficiency of the semiconductor institute programme in Taiwan—application of spatiotemporal ICA with DEA approach," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 62(12), pages 2162-2172, December.
    4. Francesca Casalini & Chiara Seghieri & Michele Emdin & Sabina Nuti, 2017. "Nuovi strumenti di management per la gestione integrata dei percorsi assistenziali dei pazienti cronici," MECOSAN, FrancoAngeli Editore, vol. 2017(102), pages 35-59.
    5. Rosanna Spanò & Adele Caldarelli & Luca Ferri & Marco Maffei, 2020. "Context, culture and control: a case study on accounting change in an Italian regional health service," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 24(1), pages 229-272, March.
    6. Dubas-Jakóbczyk, K. & Albreht, T. & Behmane, D. & Bryndova, L. & Dimova, A. & Džakula, A. & Habicht, T. & Murauskiene, L. & Scîntee, S.G. & Smatana, M. & Velkey, Z. & Quentin, W., 2020. "Hospital reforms in 11 Central and Eastern European countries between 2008 and 2019: a comparative analysis," Health Policy, Elsevier, vol. 124(4), pages 368-379.
    7. Foglino, Silvia & Bravi, Francesca & Carretta, Elisa & Fantini, Maria Pia & Dobrow, Mark J. & Brown, Adalsteinn D., 2016. "The relationship between integrated care and cancer patient experience: A scoping review of the evidence," Health Policy, Elsevier, vol. 120(1), pages 55-63.
    8. Martini, Gianmaria & Levaggi, Rosella & Spinelli, Daniele, 2022. "Is there a bias in patient choices for hospital care? Evidence from three Italian regional health systems," Health Policy, Elsevier, vol. 126(7), pages 668-679.
    9. Anca Antoaneta Vărzaru, 2022. "An Empirical Framework for Assessing the Balanced Scorecard Impact on Sustainable Development in Healthcare Performance Measurement," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
    10. Manuela Macinati & Marco Giovanni Rizzo, 2018. "Il ruolo di moderazione dell?identit? professionale medica nella relazione tra partecipazione al processo di budget e performance dei medici responsabili di struttura," MECOSAN, FrancoAngeli Editore, vol. 2018(106), pages 11-36.
    11. Rogério Joao Lunkes & David Naranjo-Gil & Ernesto Lopez-Valeiras, 2018. "Management Control Systems and Clinical Experience of Managers in Public Hospitals," IJERPH, MDPI, vol. 15(4), pages 1-9, April.
    12. Nicola Giannelli & Andrea Lippi, 2022. "The relevance of non-institutional practice in health care steering at local level in Italy.What has been learnt in pandemic times?," Working Papers 2203, University of Urbino Carlo Bo, Department of Economics, Society & Politics - Scientific Committee - L. Stefanini & G. Travaglini, revised 2022.
    13. Kao, Ling-Jing & Lu, Chi-Jie & Chiu, Chih-Chou, 2011. "Efficiency measurement using independent component analysis and data envelopment analysis," European Journal of Operational Research, Elsevier, vol. 210(2), pages 310-317, April.
    14. De Nicola, Arianna & Gitto, Simone & Mancuso, Paolo, 2011. "A two-stage DEA model to evaluate the efficiency of the Italian health system," MPRA Paper 39126, University Library of Munich, Germany.
    15. Sepideh Abolghasem & Mehdi Toloo & Santiago Amézquita, 2019. "Cross-efficiency evaluation in the presence of flexible measures with an application to healthcare systems," Health Care Management Science, Springer, vol. 22(3), pages 512-533, September.
    16. Guido Noto & Lucrezia Coletta & Sara Zuccarino & Milena Vainieri, 2021. "Il controllo e la gestione della performance delle attivit? di prevenzione in contesti interorganizzativi: il caso dei controlli frontalieri sugli alimenti," MECOSAN, FrancoAngeli Editore, vol. 0(117), pages 59-75.
    17. Deng, Zhongqi & Jiang, Nan & Pang, Ruizhi, 2021. "Factor-analysis-based directional distance function: The case of New Zealand hospitals," Omega, Elsevier, vol. 98(C).
    18. Pınar Kaya Samut & Reyhan Cafrı, 2016. "Analysis of the Efficiency Determinants of Health Systems in OECD Countries by DEA and Panel Tobit," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(1), pages 113-132, October.
    19. Domenico Raucci & Manuela Paolini, 2022. "Informazioni budgetarie e prospettive di Behavioral Management Accounting nelle aziende sanitarie pubbliche italiane," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2022(2), pages 117-139.
    20. Nuti, Sabina & Ferré, Francesca & Seghieri, Chiara & Foresi, Elisa & Stukel, Therese A., 2020. "Managing the performance of general practitioners and specialists referral networks: A system for evaluating the heart failure pathway," Health Policy, Elsevier, vol. 124(1), pages 44-51.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2732-:d:512992. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.