Beyond new public management: Empowering community‐based organisations

Mailloux, Dominique; Lacharité, Carl

doi:10.1002/jcop.22435

Cited by 10 publications

(8 citation statements)

References 40 publications

(69 reference statements)

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“…Overeem and Tholen (2011) summarize some work going into this direction, where practitioners work on prioritizing virtues in their daily practices. In addition, Sadler-Smith (2012) highlights the advantages of involvement in communities of practice to shape actors' moral development (for an empirical illustration see Mailloux & Lacharité, 2020).…”

Section: Managerial Implicationsmentioning

confidence: 99%

Before Virtuous Practice. Public and Private Sector-Specific Preferences for Intuition and Deliberation in Decision-Making

et al. 2022

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There are a number of well-established concepts explaining decision-making.The sociology of wise practice within public administration suggests that thinking preferences like the use of intuition form a cornerstone of public administrators' virtuous practice. This contribution uses conceptual and theoretical resources from the behavioral sciences and public administration to account for individual level differences of employees with regard to thinking preferences in the public sector. Institutional frameworks and social structures may enable or impede the habituation of virtue. The contribution empirically investigates this proposition with respondents from North America and the European Union. The analysis investigates the behavioral dimension preference for intuition/preference for deliberation. An analysis of data from 333 employees from organizations in North America and 1644 employees from organizations in the EU reveal prevalent differences in the preference for thinking styles. The public and private sector differ significantly in terms of the preference for rational as well as for intuitive thinking. What is exciting is that private employees rank higher than public employees on both scales, whereas the difference in rational thinking shows a small effect and the effect size in regard of intuitive thinking is negligible. We explore possible explanations for such differences and similarities.

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Section: Managerial Implicationsmentioning

confidence: 99%

Before Virtuous Practice. Public and Private Sector-Specific Preferences for Intuition and Deliberation in Decision-Making

et al. 2022

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“…The NPM theory implies, in Public Administration, an adaptation of the State to new roles and rewards a relationship with private management models. The modernization of public administration is demanded by the citizens, being given by them, special prominence to the health sector [21]. The innovation and application of NPM measures to the health sector are focused on the search for efficiency and effectiveness and on the creation of value [19].…”

Section: The Portuguese National Health Service Before and During The...mentioning

confidence: 99%

Evaluating Portuguese Public Hospitals Performance: Any Difference before and during COVID-19?

Nunes

Marques

2022

Sustainability

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COVID-19 is a well-known respiratory disease that has spread worldwide since January 2020, causing many deaths and massive pressure on health systems. This pandemic’s appearance compromised health service sustainability and quality as many procedures were postponed or canceled, with an expected increase of adverse events like nosocomial infections, in-hospital deaths, and the worsening of the patient’s clinical status. For instance, the year 2020 featured an increase in undesirable results in Portugal: a rise of 10% in delayed first medical appointments, 0.02% in avoidable bloodstream infections, and more than 100 post-operative pulmonary embolisms and septicemia cases per 100,000 inpatients. Therefore, assessing whether the healthcare providers’ performance has changed is paramount. In this case, we evaluated public hospitals in Portugal. To this end, we developed a network data envelopment analysis model relating to efficiency and effectiveness. We observed consistent drops in efficiency when the pandemic started, followed by a recovery to levels above the pre-pandemic ones. Regarding effectiveness, we observed a positive trend during the evaluated period. We conclude that, apart from the great resilience of public healthcare providers, the Portuguese state was unprepared for a pandemic like COVID-19, but still the actions taken (including massive vaccination) were beneficial.

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“…The NPM theory implies, in Public Administration, an adaptation of the State to new roles and rewards a relationship with private management models. The modernization of the Public Administration is demanded by the citizens, being given by them, a special prominence to the health sector [21]. The innovation and application of NPM measures to the health sector are focused on the search for efficiency and effectiveness and on the creation of value [19].…”

Section: The Portuguese National Health Service Before and During The...mentioning

confidence: 99%

Evaluating Portuguese Public Hospitals Performance: Any Difference Before and During COVID-19?

Nunes¹,

Marques²

2022

Preprint

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COVID-19 is a well-known respiratory disease spreading worldwide since January 2020, causing many deaths and massive pressure on health systems. This pandemic’s appearance compromised the health services’ sustainability and quality as many procedures were postponed or even canceled out, with an expected increase of adverse events like nosocomial infections, in-hospital deaths, and the worsening of the patients’ clinical status. Therefore, assessing whether the healthcare providers’ performance has changed is paramount. In this case, we evaluated the public hospitals in Portugal as the leading secondary health care providers in the country, which in turn has been highly affected by the pandemic. To this end, we developed a network Data Envelopment Analysis model serially relating efficiency and effectiveness. Using 2,795 observations from public hospitals and 18 variables, we observed consistent drops in efficiency when the pandemic started, followed by a recovery to levels above the pre-pandemic ones. Regarding effectiveness, we observed a positive trend during the evaluated period. In short, these results allow us to conclude that, apart from the great resilience of public healthcare providers, the Portuguese State was not prepared for a pandemic like COVID-19, but still the actions taken (including massive vaccination) were beneficial.

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Beyond new public management: Empowering community‐based organisations

Cited by 10 publications

References 40 publications

Before Virtuous Practice. Public and Private Sector-Specific Preferences for Intuition and Deliberation in Decision-Making

Before Virtuous Practice. Public and Private Sector-Specific Preferences for Intuition and Deliberation in Decision-Making

Evaluating Portuguese Public Hospitals Performance: Any Difference before and during COVID-19?

Evaluating Portuguese Public Hospitals Performance: Any Difference Before and During COVID-19?

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