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Performance Monitoring Systems in Healthcare Organizations The Managerial Perception of Uncertainty in Volatile Environments
Rouhana, Rima; Van Caillie, Didier
2011In IAMB (Ed.) Proceedings of the 10th IAMB Conference - "Management Challenges in Global Economy"
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Keywords :
Performance Management; Performance Monitoring Systems; HealthCare Organizations; Managerial Perception; Uncertainty; Volatile Environment; Gestion de la performance; Système de pilotage de la performance; Organisation de soins de santé; Perception managériale; Incertitude; Environnement volatile
Abstract :
[en] Monitoring performance in healthcare organizations appears evolving drastically over time, due to a continuous search for better quality, efficiency and timeliness. As a result, the usefulness of traditional management/performance control systems in such organizations is questioned and a focus is then made on the context in which each organization is operating. In a contingent-based perspective, a limited number of qualitative and quantitative empirical studies examine how some major contingent variables (nature of the organization, size, structure…) influence both the managerial decision-making process and the management control process in healthcare organizations. But, while largely integrated in other managerial contexts (Kabwigiri and Van Caillie, 2000), most of them ignore the variable “uncertainty” and how uncertainty is perceived by managers in healthcare organizations. So, the prime interest of our empirical study is to appraise how uncertainty is appraised by managers in volatile environments. To investigate this subject further, we rely on seminal studies that link between the influence of the organizational attributes (structure, size, level of technology), and their effect on the managerial decisions-making (personal profile and perception) of a suitable management control system (MCS). Our methodology rests on a “qualitative comparative approach” of thirty case studies, lead in two heterogeneous environments (Belgium and Lebanon). Such method allows us to validate our theoretical framework with qualitative case studies collected via semi-structured questionnaire. Our findings provide us with a dialogue between a single (in-depth) case study exploring the phenomenon and a qualitative comparative approach. Thus, we gain understanding of the causal mechanisms and processes, as well as of the core determinants of the healthcare managerial adoption of performance monitoring systems (PMS).
Research center :
CEPE - Centre d'Études de la Performance des Entreprises - ULiège
Disciplines :
Accounting & auditing
Author, co-author :
Rouhana, Rima;  Arab Open University of Beyrouth (Lebanon) - AOU Beyrouth
Van Caillie, Didier  ;  Université de Liège - ULiège > HEC-Ecole de gestion : UER > Diagnostic et contrôle de l'entreprise
Language :
English
Title :
Performance Monitoring Systems in Healthcare Organizations The Managerial Perception of Uncertainty in Volatile Environments
Alternative titles :
[fr] Les systèmes de pilotage de la performance dans les organisations de soins de santé : la perception managériale de l'incertitude dans des environnements volatiles
Publication date :
June 2011
Event name :
10th IAMB Conference - 2011 - Summer conference in Istanbul
Event organizer :
International Academy of Management and Business - IAMB
Event place :
Istanbul, Turkey
Event date :
du 20 au 22 juin 2011
Audience :
International
Main work title :
Proceedings of the 10th IAMB Conference - "Management Challenges in Global Economy"
Main work alternative title :
[fr] Actes de la 10ème Conférence Internationale de l'IAMB - "Les défis du management dans une économie globalisée"
Editor :
IAMB
Pages :
1-10
Peer reviewed :
Peer reviewed
Commentary :
Best Paper Award granted to Mrs Rouhana as a Junior Associate Professor
Available on ORBi :
since 11 November 2012

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