2020
DOI: 10.1108/ijhcqa-07-2019-0121
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Bureaucracy and the balanced scorecard in health care settings

Abstract: PurposeWe explore the relationship between the balanced scorecard (BSC) and neo-bureaucracy by investigating whether the operationalization of the BSC incorporates “neo-bureaucratic” ideas and whether the BSC implemented in a Portuguese Local Health Unit (LHU) demonstrates a neo-bureaucratic approach.Design/methodology/approachWe conduct semi-structured interviews with LHU staff and analyse documents to assess whether features of bureaucratic organization were evident in the use of a BSC by the LHU.FindingsWe … Show more

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Cited by 15 publications
(25 citation statements)
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References 40 publications
(53 reference statements)
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“…In the current study monitoring or evaluation was conducted using Kaplan and Norton’s (1992) Balanced Scorecard performance measurement tool [ 4 ]. This decision was based on its successful application in healthcare settings and organisations elsewhere [ 31 33 ]. Our experience aligns with that of Oliveira et al [ 31 ] that the Balanced Scorecard is a valuable management tool to enhance flexibility, collaboration, innovation and adaptation that contribute to improve healthcare integration and outcomes.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In the current study monitoring or evaluation was conducted using Kaplan and Norton’s (1992) Balanced Scorecard performance measurement tool [ 4 ]. This decision was based on its successful application in healthcare settings and organisations elsewhere [ 31 33 ]. Our experience aligns with that of Oliveira et al [ 31 ] that the Balanced Scorecard is a valuable management tool to enhance flexibility, collaboration, innovation and adaptation that contribute to improve healthcare integration and outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…Hospital and PHC clinic roadshows continued, and the first Balanced Scorecard workshop was conducted. Often applied to healthcare settings and organisations [ 31 33 ], the Balanced Scorecard performance measures include four questions or perspectives: (i) how do customers see us? (customer perspective); (ii) what must we excel at?…”
Section: Methodsmentioning
confidence: 99%
“…Today, BSC research tends to cluster in not only discipline-specific journals of accounting and management, but also in context-specific journals. For example, managers apply the BSC in manufacturing (Abdallah & Alnamri, 2015; Sim & Koh, 2001), hospitality and tourism (Doran et al, 2002; Sainaghi et al, 2013), education (Asan & Tanyas, 2007; Beard, 2009; Hladchenko, 2015; Papenhausen & Einstein, 2006), health (Chang et al, 2008; Kollberg & Elg, 2011; Lin et al, 2014; Oliveira et al, 2020), retail banks (Zhoor & Sahaf, 2018), insurance (Dwivedi et al, 2021), and retail (Thomas et al, 1999). Managers apply the BSC in almost every form of organization: profit-making enterprises (Joseph, 2009), non-profit-making firms (Greiling, 2010; Gumbus & Wilson, 2004), and public enterprises (Hamid, 2018; Holmes et al, 2006; Monteiro & Ribeiro, 2017; Northcott & Taulapapa, 2012; Sundin et al, 2010).…”
Section: Analysis and Discussionmentioning
confidence: 99%
“…Umashankar and Datta (2007), Yu et al (2009), and Hladchenko (2015) discuss BSC’s structure, along with several critical success factors, needed for BSC implementation in higher education institutions of different nations. Finally, Oliveira et al (2020), identify nine bureaucratic features in Portuguese local health units. They conclude that BSC execution requires knowledge and discipline and invites neo-bureaucratic order through a cultural change.…”
Section: Analysis and Discussionmentioning
confidence: 99%
“…It is necessary to strengthen the training of accountants to improve their overall quality. First of all, enterprises should strengthen the education and training of accounting staff, integrate management accounting knowledge in daily training, expand the horizon of accounting staff, and enable accounting staff to have modern management capabilities [9]. At the same time, accounting staff should be dispatched to go out to learn, to advanced enterprises to learn advanced management accounting knowledge.…”
Section: Strengthen the Comprehensive Quality Of Accounting Personnelmentioning
confidence: 99%