Health institutions in the People’s Republic of Chinaare under considerable challenge. Innovations in management systems may support the challenge to increase both efficiency and effectiveness. The balanced scorecard...Health institutions in the People’s Republic of Chinaare under considerable challenge. Innovations in management systems may support the challenge to increase both efficiency and effectiveness. The balanced scorecard (BSC) is one such innova-tion. We have used a model to explore the factors that may impact the diffusion of the BSC in Chinese government hospitals. In particular, we concentrate on three factors — the outer context, the nature of the innovation and the communication and influence. The outer context and the nature of the innovation do provide an inducement to implement a BSC. The strength of the communica-tion and influence may affect the level of take-up. However, we recognise that they may choose the BSC not for any apparent technical excellence but for the legitimation that Western man-agement practices may bring to local managers.展开更多
In this paper, the author provides a representation of Italian public hospital facilitators (HFs) (clinics, regional or local community hospitals, and medical centers) by means of different types of networks. Movi...In this paper, the author provides a representation of Italian public hospital facilitators (HFs) (clinics, regional or local community hospitals, and medical centers) by means of different types of networks. Moving from the balance scorecards of HFs, the author has analyzed the representation of those data through the use of the minimum spanning tree (MST) and the planar maximally-filtered graph (PMFG). This paper firstly examined the amount of information provided by the two networks and then run a sensitivity analysis of the networks by varying the elements of the balance scorecards to be considered. In this way, the author obtained a quite unusual representation of the overall economic situation of Italian HFs. Moreover, the author observed the emergence of patterns which in the author's opinion might help policy makers to realize a more efficient allocation of financial resources among the existing HFs.展开更多
Based on a questionnaire survey of Chinese public hospitals, this paper explores the consequence and realization path of balanced scorecard (BSC, hereafter) usage. The results show that BSC usage can improve hospita...Based on a questionnaire survey of Chinese public hospitals, this paper explores the consequence and realization path of balanced scorecard (BSC, hereafter) usage. The results show that BSC usage can improve hospital performance remarkably. With the structural equation model analysis, we further find that, this function is realized in an indirect way through the perception of organizational fairness and organizational commitment. The BSC has direct effect to improve the perception of organizational fairness and organizational commitment, which further influence the performance. The results not only complement empirical evidences for BSC usage, but also provide guidance to regulators and hospitals to implement BSC in compensation contract.展开更多
文摘Health institutions in the People’s Republic of Chinaare under considerable challenge. Innovations in management systems may support the challenge to increase both efficiency and effectiveness. The balanced scorecard (BSC) is one such innova-tion. We have used a model to explore the factors that may impact the diffusion of the BSC in Chinese government hospitals. In particular, we concentrate on three factors — the outer context, the nature of the innovation and the communication and influence. The outer context and the nature of the innovation do provide an inducement to implement a BSC. The strength of the communica-tion and influence may affect the level of take-up. However, we recognise that they may choose the BSC not for any apparent technical excellence but for the legitimation that Western man-agement practices may bring to local managers.
文摘In this paper, the author provides a representation of Italian public hospital facilitators (HFs) (clinics, regional or local community hospitals, and medical centers) by means of different types of networks. Moving from the balance scorecards of HFs, the author has analyzed the representation of those data through the use of the minimum spanning tree (MST) and the planar maximally-filtered graph (PMFG). This paper firstly examined the amount of information provided by the two networks and then run a sensitivity analysis of the networks by varying the elements of the balance scorecards to be considered. In this way, the author obtained a quite unusual representation of the overall economic situation of Italian HFs. Moreover, the author observed the emergence of patterns which in the author's opinion might help policy makers to realize a more efficient allocation of financial resources among the existing HFs.
文摘Based on a questionnaire survey of Chinese public hospitals, this paper explores the consequence and realization path of balanced scorecard (BSC, hereafter) usage. The results show that BSC usage can improve hospital performance remarkably. With the structural equation model analysis, we further find that, this function is realized in an indirect way through the perception of organizational fairness and organizational commitment. The BSC has direct effect to improve the perception of organizational fairness and organizational commitment, which further influence the performance. The results not only complement empirical evidences for BSC usage, but also provide guidance to regulators and hospitals to implement BSC in compensation contract.