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Risk Management and Financial Stability in the Polish Public Hospitals: The Moderating Effect of the Stakeholders’ Engagement in the Decision-Making

Author

Listed:
  • Aldona Frączkiewicz-Wronka

    (Department of Public Management & Social Science, University of Economics in Katowice, 40-287 Katowice, Poland)

  • Tomasz Ingram

    (Department of Entrepreneurship & Management Innovation, University of Economics in Katowice, 40-287 Katowice, Poland)

  • Karolina Szymaniec-Mlicka

    (Department of Public Management & Social Science, University of Economics in Katowice, 40-287 Katowice, Poland)

  • Piotr Tworek

    (Department of Public Management & Social Science, University of Economics in Katowice, 40-287 Katowice, Poland)

Abstract

Public healthcare organizations usually operate under significant financial strain and frequently strive for survival. Thus, in most cases, financial stability is a “holy grail” of public healthcare organizations in general and hospitals in particular. The financial stability itself is partly dependent upon the ability to manage risk associated with hospital actions. In the paper, we seek to address the question related to the moderating role of stakeholders’ engagement in the relationship between risk management practices and a hospital’s financial stability. To answer this question, we designed and carried out empirical research on a sample of 103 out of 274 Polish public hospitals operating at the first-level (closest to the patient). Results show that risk management practices are positively related to financial stability. Hospitals with well-developed risk management practices are better prepared and find appropriate answers to threats, helping them attain financial stability. We also found that stakeholder engagement acts as a moderator of the relationship between risk management practices and financial stability. Research results indicate that with more sophisticated risk management practices, stakeholder engagement in decision-making leads to statistically lower financial stability. On the other hand, high levels of stakeholders’ engagement help when risk management practices are underdeveloped.

Suggested Citation

  • Aldona Frączkiewicz-Wronka & Tomasz Ingram & Karolina Szymaniec-Mlicka & Piotr Tworek, 2021. "Risk Management and Financial Stability in the Polish Public Hospitals: The Moderating Effect of the Stakeholders’ Engagement in the Decision-Making," Risks, MDPI, vol. 9(5), pages 1-23, May.
    • Handle: RePEc:gam:jrisks:v:9:y:2021:i:5:p:87-:d:549410
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    References listed on IDEAS

    as
    1. Sowada, Christoph & Kowalska-Bobko, Iwona & Sagan, Anna, 2020. "What next after the ‘commercialization’ of public hospitals? Searching for effective solutions to achieve financial stability of the hospital sector in Poland," Health Policy, Elsevier, vol. 124(10), pages 1050-1055.
    2. Ricardo Corrêa Gomes & Joyce Liddle & Luciana Oliveira Miranda Gomes, 2010. "A Five-Sided Model Of Stakeholder Influence," Public Management Review, Taylor & Francis Journals, vol. 12(5), pages 701-724, September.
    3. Tarek Rana & Danture Wickramasinghe & Enrico Bracci, 2019. "New development: Integrating risk management in management control systems—lessons for public sector managers," Public Money & Management, Taylor & Francis Journals, vol. 39(2), pages 148-151, February.
    4. Kitae Sohn, 2016. "Risk Incomprehension and Its Economic Consequences," Journal of Development Studies, Taylor & Francis Journals, vol. 52(11), pages 1545-1560, November.
    5. Kenneth M. Amaeshi & Andrew Crane, 2006. "Stakeholder engagement: a mechanism for sustainable aviation," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 13(5), pages 245-260, December.
    6. Barbara C. Crosby & John M. Bryson, 2018. "Why leadership of public leadership research matters: and what to do about it," Public Management Review, Taylor & Francis Journals, vol. 20(9), pages 1265-1286, September.
    7. Andreas Klinke & Ortwin Renn, 2012. "Adaptive and integrative governance on risk and uncertainty," Journal of Risk Research, Taylor & Francis Journals, vol. 15(3), pages 273-292, March.
    8. Stephen P. Osborne & Zoe Radnor & Tony Kinder & Isabel Vidal, 2014. "Sustainable public service organisations: A Public Service-Dominant approach," Society and Economy, Akadémiai Kiadó, Hungary, vol. 36(3), pages 313-338, September.
    9. Hatem Elleuch & Wafik Hachicha & Habib Chabchoub, 2014. "A combined approach for supply chain risk management: description and application to a real hospital pharmaceutical case study," Journal of Risk Research, Taylor & Francis Journals, vol. 17(5), pages 641-663, May.
    10. Bert George & Sebastian Desmidt & Julie De Moyer, 2016. "Strategic decision quality in Flemish municipalities," Public Money & Management, Taylor & Francis Journals, vol. 36(5), pages 317-324, July.
    11. Arun A. Elias, 2019. "Strategy Development Through Stakeholder Involvement: A New Zealand Study," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 20(4), pages 313-322, December.
    12. Lasse Oulasvirta & Ari-Veikko Anttiroiko, 2017. "Adoption of comprehensive risk management in local government," Local Government Studies, Taylor & Francis Journals, vol. 43(3), pages 451-474, May.
    13. Stephen Osborne & Taco Brandsen & Valentina Mele & Juraj Nemec & Marieke van Genugten & Sophie Flemig, 2020. "Risking innovation. Understanding risk and public service innovation—evidence from a four nation study," Public Money & Management, Taylor & Francis Journals, vol. 40(1), pages 52-62, January.
    14. Richard Burke & Istemi Demirag, 2017. "Risk transfer and stakeholder relationships in Public Private Partnerships," Accounting Forum, Taylor & Francis Journals, vol. 41(1), pages 28-43, March.
    15. Daphne Rixon, 2010. "Stakeholder Engagement in Public Sector Agencies: Ascending the Rungs of the Accountability Ladder," International Journal of Public Administration, Taylor & Francis Journals, vol. 33(7), pages 347-356.
    16. Olivier Borraz, 2007. "Risk and Public Problems," Journal of Risk Research, Taylor & Francis Journals, vol. 10(7), pages 941-957, October.
    17. Malfait, S. & Van Hecke, A. & De Bodt, G. & Palsterman, N. & Eeckloo, K., 2018. "Patient and public involvement in hospital policy-making: Identifying key elements for effective participation," Health Policy, Elsevier, vol. 122(4), pages 380-388.
    18. Ikujiro Nonaka, 1994. "A Dynamic Theory of Organizational Knowledge Creation," Organization Science, INFORMS, vol. 5(1), pages 14-37, February.
    19. M.G. Mennen & M.C. van Tuyll, 2015. "Dealing with future risks in the Netherlands: the National Security Strategy and the National Risk Assessment," Journal of Risk Research, Taylor & Francis Journals, vol. 18(7), pages 860-876, August.
    20. J. E. Agnew & N. Komaromy & R. E. Smith, 2006. "Healthcare Institution Risk Assessments: Concentration on “Process” or “Outcome”?," Journal of Risk Research, Taylor & Francis Journals, vol. 9(5), pages 503-523, July.
    21. Szymaniec-Mlicka Karolina, 2017. "The decision-making process in public healthcare entities – identification of the decision-making process type," Management, Sciendo, vol. 21(1), pages 191-204, May.
    22. Sophie Flemig & Stephen Osborne & Tony Kinder, 2016. "Risky business—reconceptualizing risk and innovation in public services," Public Money & Management, Taylor & Francis Journals, vol. 36(6), pages 425-432, September.
    23. N. Chambers & G. Harvey & R. Mannion, 2017. "Who should serve on health care boards? What should they do and how should they behave? A fresh look at the literature and the evidence," Cogent Business & Management, Taylor & Francis Journals, vol. 4(1), pages 1357348-135, January.
    24. Lasuli Bakalikwira & Juma Bananuka & Twaha Kaawaase Kigongo & Doreen Musimenta & Veronica Mukyala, 2017. "Accountability in the public health care systems: A developing economy perspective," Cogent Business & Management, Taylor & Francis Journals, vol. 4(1), pages 1334995-133, January.
    25. Banoun, Arnaud & Dufour, Lucas & Andiappan, Meena, 2016. "Evolution of a service ecosystem: Longitudinal evidence from multiple shared services centers based on the economies of worth framework," Journal of Business Research, Elsevier, vol. 69(8), pages 2990-2998.
    26. Yi Zheng & Wei Wang & Wenbin Liu & John Mingers, 2019. "A performance management framework for the public sector: The balanced stakeholder model," Journal of the Operational Research Society, Taylor & Francis Journals, vol. 70(4), pages 568-580, April.
    27. Arnaud Banoun & Lucas Dufour & Meena Andiappan, 2016. "Evolution of a service ecosystem: Longitudinal evidence from multiple shared services centers based on the economies of worth framework," Post-Print hal-02009135, HAL.
    28. John M Bryson, 2004. "What to do when Stakeholders matter," Public Management Review, Taylor & Francis Journals, vol. 6(1), pages 21-53, March.
    29. Lexin Lin & Claudia Rivera & Marcus Abrahamsson & Henrik Tehler, 2017. "Communicating risk in disaster risk management systems – experimental evidence of the perceived usefulness of risk descriptions," Journal of Risk Research, Taylor & Francis Journals, vol. 20(12), pages 1534-1553, December.
    30. Yanwei Li & Araz Taeihagh & Martin de Jong & Andreas Klinke, 2021. "Toward a Commonly Shared Public Policy Perspective for Analyzing Risk Coping Strategies," Risk Analysis, John Wiley & Sons, vol. 41(3), pages 519-532, March.
    31. Djellouli, Nehla & Jones, Lorelei & Barratt, Helen & Ramsay, Angus I.G. & Towndrow, Steven & Oliver, Sandy, 2019. "Involving the public in decision-making about large-scale changes to health services: A scoping review," Health Policy, Elsevier, vol. 123(7), pages 635-645.
    32. Brian Hunt, 2010. "Risk and Crisis Management in the Public Sector," Public Management Review, Taylor & Francis Journals, vol. 12(5), pages 747-751, September.
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