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Using a model of the performance measures in Soft Systems Methodology (SSM) to take action: a case study in health care

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  • K Kotiadis

    (University of Warwick, Coventry, UK)

  • A A Tako

    (Loughborough University, Leicestershire, UK)

  • E A J A Rouwette

    (Institute for Management Research, Nijmegen, The Netherlands)

  • C Vasilakis

    (University College London, London, UK)

  • J Brennan

    (Medway Maritime Hospital, Gillingham, UK)

  • P Gandhi

    (Medway Maritime Hospital, Gillingham, UK)

  • H Wegstapel

    (Medway Maritime Hospital, Gillingham, UK)

  • F Sagias

    (Medway Maritime Hospital, Gillingham, UK)

  • P Webb

    (Medway Maritime Hospital, Gillingham, UK)

Abstract

This paper uses a case study of a multidisciplinary colorectal cancer team in health care to explain how a model of performance measures can lead to debate and action in Soft System Methodology (SSM). This study gives a greater emphasis and role to the performance measures than currently given in typical SSM studies. Currently, the concept of performance measurement in SSM is in the form of a set of criteria used to judge the performance of the SSM model (the purposeful activity model). These performance criteria are definitions of efficacy, efficiency, effectiveness, ethicality and elegance. However, the use of performance measures within SSM is not clear and therefore criticized by some as nebulous. This paper uses a case study to explain how to involve the stakeholders in deriving a performance measurement model (PMM), which is a more detailed expansion of the performance criteria. The paper concludes with some reflections about how the PMM can fit in the SSM cycle, with two modes of practice put forward.

Suggested Citation

  • K Kotiadis & A A Tako & E A J A Rouwette & C Vasilakis & J Brennan & P Gandhi & H Wegstapel & F Sagias & P Webb, 2013. "Using a model of the performance measures in Soft Systems Methodology (SSM) to take action: a case study in health care," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 64(1), pages 125-137, January.
    • Handle: RePEc:pal:jorsoc:v:64:y:2013:i:1:p:125-137
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    Citations

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    Cited by:

    1. Cardoso-Grilo, Teresa & Monteiro, Marta & Oliveira, Mónica Duarte & Amorim-Lopes, Mário & Barbosa-Póvoa, Ana, 2019. "From problem structuring to optimization: A multi-methodological framework to assist the planning of medical training," European Journal of Operational Research, Elsevier, vol. 273(2), pages 662-683.
    2. Baril, Chantal & Gascon, Viviane & Miller, Jonathan & Côté, Nadine, 2016. "Use of a discrete-event simulation in a Kaizen event: A case study in healthcare," European Journal of Operational Research, Elsevier, vol. 249(1), pages 327-339.
    3. Kotiadis, K. & Tako, A.A., 2018. "Facilitated post-model coding in discrete event simulation (DES): A case study in healthcare," European Journal of Operational Research, Elsevier, vol. 266(3), pages 1120-1133.

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