Analytical perspectives on performancebased management: an outline of theoretical assumptions in the existing literature
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Analytical perspectives on performancebased management: an outline of theoretical assumptions in the existing literature. / Wadmann, Sarah; Johansen, Sarah; Møldrup, Ane Lind; Birk, Hans Okkels; Hoeyer, Klaus.
I: Health Economics, Policy and Law, Bind 8, Nr. 4, 14.03.2013, s. 511-527.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Analytical perspectives on performancebased management: an outline of theoretical assumptions in the existing literature
AU - Wadmann, Sarah
AU - Johansen, Sarah
AU - Møldrup, Ane Lind
AU - Birk, Hans Okkels
AU - Hoeyer, Klaus
PY - 2013/3/14
Y1 - 2013/3/14
N2 - Performance-based management (PBM) has become a dominant formof governance in health care and there is a need for careful assessment of itsfunction and effects. This article contains a cross-disciplinary literature synthesisof current studies of PBM. Literature was retrieved by database searches andcategorized according to analytical differences and similarities concerning(1) purpose and (2) governance mechanism of PBM. The literature couldbe grouped into three approaches to the study of PBM, which we termed:the ‘functionalist’, the ‘interpretive’ and the ‘post-modern’ perspective. In thefunctionalist perspective, PBM is perceived as a management tool aimed atimproving health care services by means of market-based mechanisms. In theinterpretive perspective, the adoption of PBM is understood as consequenceof institutional and individual agents striving for public legitimacy. In thepost-modern perspective, PBM is analysed as a form of governance, which hasbecome so ingrained in Western culture that health care professionals internalizeand understand their own behaviour and goals according to the values expressedin these governance systems. The recognition of differences in analyticalperspectives allows appreciation of otherwise implicit assumptions and potentialimplications of PBM. Re¿ections on such differences are important to ensurevigilant appropriation of shifting management tools in health quality governance
AB - Performance-based management (PBM) has become a dominant formof governance in health care and there is a need for careful assessment of itsfunction and effects. This article contains a cross-disciplinary literature synthesisof current studies of PBM. Literature was retrieved by database searches andcategorized according to analytical differences and similarities concerning(1) purpose and (2) governance mechanism of PBM. The literature couldbe grouped into three approaches to the study of PBM, which we termed:the ‘functionalist’, the ‘interpretive’ and the ‘post-modern’ perspective. In thefunctionalist perspective, PBM is perceived as a management tool aimed atimproving health care services by means of market-based mechanisms. In theinterpretive perspective, the adoption of PBM is understood as consequenceof institutional and individual agents striving for public legitimacy. In thepost-modern perspective, PBM is analysed as a form of governance, which hasbecome so ingrained in Western culture that health care professionals internalizeand understand their own behaviour and goals according to the values expressedin these governance systems. The recognition of differences in analyticalperspectives allows appreciation of otherwise implicit assumptions and potentialimplications of PBM. Re¿ections on such differences are important to ensurevigilant appropriation of shifting management tools in health quality governance
KW - Faculty of Health and Medical Sciences
KW - performance-based management
KW - Quality assessment
KW - hospital management
KW - public reporting of quality data
KW - literature synthesis
KW - cross-disciplinary research
U2 - 10.1017/S174413311300011X
DO - 10.1017/S174413311300011X
M3 - Journal article
C2 - 23506797
VL - 8
SP - 511
EP - 527
JO - Health Economics, Policy and Law
JF - Health Economics, Policy and Law
SN - 1744-1331
IS - 4
ER -
ID: 45029763