Hospital projects worldwide often experience misperformance,showing a tendency to exceed their estimated cost,miss their deadline,suffer quality problems,and yield benefit shortfalls.Considering this ubiquitous proble...Hospital projects worldwide often experience misperformance,showing a tendency to exceed their estimated cost,miss their deadline,suffer quality problems,and yield benefit shortfalls.Considering this ubiquitous problem,this paper aims to make sense of this phenomenon by addressing the following research question:How can we make sense of hospital project misperformance,and what can be done to mitigate its occurrence?We use an illustrative case study approach and the analytical lens of sense-making to examine the misperformance of three mega-hospital projects.Our research reveals issues such as scope changes,an inability to adapt and respond to risk and uncertainty,ineffectual project management and governance,and optimism bias,which combine to impact project performance adversely.We suggest that the two prominent theoretical perspectives dominating the literature in this field fall short of adequately explaining hospital project misperformance.We provide suggestions for improving the procurement process of hospitals and submit there is a need to develop a robust and balanced theory of project misperformance.展开更多
随着医疗信息化的快速发展,疾病诊断相关分组(Diagnosis Related Groups,DRGs)管理信息系统在医疗行业中的应用愈发重要。文章对DRGs管理信息系统的建设与应用进行深入研究,旨在探讨该系统在医疗服务质量、成本控制和医疗机构管理等方...随着医疗信息化的快速发展,疾病诊断相关分组(Diagnosis Related Groups,DRGs)管理信息系统在医疗行业中的应用愈发重要。文章对DRGs管理信息系统的建设与应用进行深入研究,旨在探讨该系统在医疗服务质量、成本控制和医疗机构管理等方面发挥的重要作用。展开更多
文摘Hospital projects worldwide often experience misperformance,showing a tendency to exceed their estimated cost,miss their deadline,suffer quality problems,and yield benefit shortfalls.Considering this ubiquitous problem,this paper aims to make sense of this phenomenon by addressing the following research question:How can we make sense of hospital project misperformance,and what can be done to mitigate its occurrence?We use an illustrative case study approach and the analytical lens of sense-making to examine the misperformance of three mega-hospital projects.Our research reveals issues such as scope changes,an inability to adapt and respond to risk and uncertainty,ineffectual project management and governance,and optimism bias,which combine to impact project performance adversely.We suggest that the two prominent theoretical perspectives dominating the literature in this field fall short of adequately explaining hospital project misperformance.We provide suggestions for improving the procurement process of hospitals and submit there is a need to develop a robust and balanced theory of project misperformance.
