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

Author

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  • 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
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    References listed on IDEAS

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    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.

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