Orchestrating public reforms through joint organizations: the case of a new remuneration policy in Belgian healthcare

joint organizations; public reform; healthcare; remuneration; policy; change; organizational change; ific; soins de santé; réforme; job classification; pay; barèmes salariaux; dialogue social; relations industrielles

Abstract :

[en] While remuneration policies in the public sector are a powerful lever for attracting and retaining qualified staff, they are known to be notoriously difficult to change. This paper sets out to unveil how remuneration reforms unfold by exploring the case of Belgian healthcare, in which a sectoral organization jointly managed by employers and labour unions implemented a new compensation framework. Two contributions emerged from this study. First, the paper emphasizes the strengths and challenges of joint organizations in orchestrating public reforms. Second, the tensions between political objectives, managerial rationalities, and workers’ expectations that arise when transforming remuneration policies are highlighted.

Research Center/Unit :

LENTIC - Laboratoire d'Études sur les Nouvelles Formes de Travail, l'Innovation et le Changement - ULiège

Disciplines :

Human resources management

Author, co-author :

Jemine, Grégory ; Université de Liège - ULiège > HEC Liège Research > HEC Liège Research: Changing workplace and strategic HRM

Blaise, Margaux; ULiège - Université de Liège [BE] > Faculté des Sciences Sociales

Language :

English

Title :

Orchestrating public reforms through joint organizations: the case of a new remuneration policy in Belgian healthcare

Publication date :

2024

Journal title :

Public Management Review

ISSN :

1471-9037

eISSN :

1471-9045

Publisher :

Taylor & Francis, United Kingdom

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 11 June 2024

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27 (12 by ULiège)

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1 (1 by ULiège)

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Bibliography

Baccaro, L., 2002. “The Construction of ‘Democratic’ Corporatism in Italy.” Politics and Society30 (2): 327–357. https://doi.org/10.1177/0032329202030002005.
Bach, S., and G., Della Rocca. 2000. “The Management Strategies of Public Service Employers in Europe.” Industrial Relations Journal31 (2): 82–96. https://doi.org/10.1111/1468-2338.00149.
Bechter, B., B., Brandl, and G., Meardi. 2012. “Sector or Countries? Typologies and Levels of Analysis in Comparative Industrial Relations.” European Journal of Industrial Relations18 (3): 185–202. https://doi.org/10.1177/0959680112452691.
Broome, A., 2022. “Gaming Country Rankings: Consultancies as Knowledge Brokers for Global Benchmarks.” Public Administration100 (3): 554–570. https://doi.org/10.1111/padm.12809.
Chen, C., and C., Hsieh. 2015. “Does Pursuing External Incentives Compromises Public Service Motivation? Comparing the Effects of Job Security and High Pay.” Public Management Review17 (8): 1190–1213. https://doi.org/10.1080/14719037.2014.895032.
Corbin, J., and A., Strauss. 2015. Basics of Qualitative Research, Techniques and Procedures for Developing Grounded Theory. 4th ed. Thousand Oaks, CA: Sage Publications Inc.
Crozier, M., Friedberg, E., 1980Actors & Systems. The Politics of Collective Action. (Chicago and London: The University of Chicago Press)
Davidson, R., 2021. “After Accommodation? Inclusion and Exclusion of Emancipation Interests in Dutch ‘Democratic corporatism’.” Acta Politica56 (1): 163–180. https://doi.org/10.1057/s41269-020-00153-9.
Di Maggio, P., and W., Powell. 1983. “The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields.” American Sociological Review48 (2): 147–160. https://doi.org/10.2307/2095101.
Fattore, G., D., Iacovone, and I., Steccolini. 2017. “Managing Successful Change in the Public Sector: A View from the consultants’ World.” Public Management Review20 (4): 587–606. https://doi.org/10.1080/14719037.2017.1340504.
Fleming P, and Spicer A., (2014). Power in Management and Organization Science. Academy of Management Annals, 8(1237–298), 237–298. https://doi.org/10.5465/19416520.2014.875671
Frey, B., F., Homberg, and M., Osterloh. 2013. “Organizational Control Systems and Pay-For-Performance in the Public Service.” Organization Studies34 (7): 949–972. https://doi.org/10.1177/0170840613483655.
Galanti, C., 2022. “National Heroes, Disposable Workers. How Collective Action in the Health and Social Care Sector During the Pandemic Negotiated with the Self-Sacrificing Worker Ideal.” Gender, Work and Organization31 (2): 1–19. https://doi.org/10.1111/gwao.12852.
Galgóczi, B., 2020. “Just Transition on the Ground: Challenges and Opportunities for Social Dialogue.” European Journal of Industrial Relations26 (4): 367–382. https://doi.org/10.1177/0959680120951704.
Galwa, J., and R., Vogel. 2023. “In Search of Legitimacy: Conflicting Logics and Identities of Management Consultants in Public Administration.” Public Management Review25 (2): 404–428. https://doi.org/10.1080/14719037.2021.1974713.
Greenwood, R., R., Suddaby, and C., Hinings. 2002. “Theorizing Change: The Role of Professional Associations in the Transformation of Institutionalized Fields.” Academy of Management Journal45 (1): 58–80. https://doi.org/10.2307/3069285.
Heinze, K., S., Soderstrom, and J., Heinze. 2016. “Translating Institutional Change to Local Communities: The Role of Linking Organizations.” Organization Studies37 (8): 1141–1169. https://doi.org/10.1177/0170840615622068.
Howlett, M., and A., Migone. 2013. “Policy Advice Through the Market: The Role of External Consultants in Contemporary Police Advisory Systems.” Policy and Society32 (3): 241–254. https://doi.org/10.1016/j.polsoc.2013.07.005.
Kessler, I., 2005. “Remuneration Systems.” In Managing Human Resources: Human Resource Management in Transition (United Kingdom: John Wiley & Sons Ltd), edited by S., Bach and M., Edwards, 243–267.
Kirkpatrick, I., A., Altantar, and G., Veronesi. 2021. “Hybrid Professional Managers in Healthcare: An Expanding or Thwarted Occupational Interest?” Public Management Review25 (5): 859–878. https://doi.org/10.1080/14719037.2021.1996777.
Kirkpatrick, I., A., Sturdy, N., Alvarado, A., Blanco-Oliver, and G., Veronesi. 2019. “The Impact of Management Consultants on Public Service Efficiency.” Policy and Politics47 (1): 77–95. https://doi.org/10.1332/030557318X15167881150799.
Kozjek, T., and V., Franca. 2020. “Talent Management in the Public Sector.” Central European Public Administration Review18 (2): 53–71. https://doi.org/10.17573/cepar.2020.2.03.
Kravariti, F., and K., Johnston. 2020. “Talent Management: A Critical Literature Review and Research Agenda for Public Sector Human Resource Management.” Public Management Review22 (1): 75–95. https://doi.org/10.1080/14719037.2019.1638439.
Larsson, B., and Y., Ulfsdotter Erikson. 2019. “Enhancing the Effectiveness of Social Dialogue Articulation in Europe: Case Study for Sweden.” Working paper.
Lawrence, T., and R., Suddaby. 2006Institutions and Institutional WorkS.R. Clegg, C. Hardy, T. Lawrence, W.R. Nord. The Sage Handbook of Organization Studies2e ed. London: SAGE Publications Ltd215–254.
Lopez, V., J., Anderson, S., West, and M., Cleary. 2022. “Does the COVID-19 Pandemic Further Impact Nursing Shortages?” Issues in Mental Health Nursing43 (3): 293–295. https://doi.org/10.1080/01612840.2021.1977875.
McFarlin, D., and P., Sweeney. 1992. “Research Notes. Distributive and Procedural Justice as Predictors of Satisfaction with Personal and Organizational Outcomes.” The Academy of Management Journal35 (3): 626–637. https://doi.org/10.5465/256489.
Naughton, M., 2022. “Mobilising Societal Power: Understanding Public Support for Nursing Strikes.” Industrial Relations Journal532: 93–109.
O’Mahoney, J., and A., Sturdy. 2016. “Power and the Diffusion of Management Ideas: The Case of McKinsey and Co.” Management Learning47 (3): 247–265. https://doi.org/10.1177/1350507615591756.
Park, S., and F., Berry. 2014. “Successful Diffusion of a Failed Policy: The Case of Pay-For-Performance in the US Federal Government.” Public Management Review16 (6): 763–781. https://doi.org/10.1080/14719037.2012.750835.
Perry, J., T., Engbers, and S., Jun. 2009. “Back to the Future? Performance-Related Pay, Empirical Research, and the Perils of Persistence.” Public Administration Review69 (1): 39–51. https://doi.org/10.1111/j.1540-6210.2008.01939_2.x.
Radnor, Z., J., O’Mahoney, B., Clegg, Jillian, MacBryde, and Prasanta, Dey 2013. “The Role of Management Consultancy in Implementing Operations Management in the Public Sector.” International Journal of Operations and Production Management33 (11/12): 1555–1578. https://doi.org/10.1108/IJOPM-07-2010-0202.
Ramaekers, D., 2023. Données phares dans les soins de santé: hôpitaux généraux. Report from the SPF Santé Publique (Belgium).
Raudla, R., M., Ylönen, and H., Kuusela. 2023. “Debate: Management Consultants and Public Management Reforms.” Public Money and Management43 (5): 432–433. https://doi.org/10.1080/09540962.2023.2204623.
Rubinstein, S., 2000. “The Impact of Co-Management on Quality Performance: The Case of the Saturn Corporation.” Industrial and Labor Relations Review53 (2): 197–218. https://doi.org/10.1177/001979390005300202.
Seabrooke, L., and O., Sending. 2022. “Consultancies in Public Administration.” Public Administration100 (3): 457–471. https://doi.org/10.1111/padm.12844.
Shannon G, Minckas N, Tan D, Haghparast-Bidgoli H, Batura N, and Mannell J. (2019). Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis. Human Resources for Health, 17(1), https://doi.org/10.1186/s12960-019-0406-0
Tsymbaliuk, S., and T., Shkoda. 2022. “Labour Remuneration in the Healthcare Sector of Ukraine in Terms of Decent Work Concept.” Employee Relations44 (1): 191–209. https://doi.org/10.1108/ER-10-2020-0477.
Van den Heede, K., K., Balcaen, N., Bouckaert, L., Bruyneel, J., Cornelis, W., Sermeus, and C., Van de Voorde. 2023. “Improving Hospital Nurse Staffing During the Pandemic: Implementation of the 2019 Fund for Health Care Staff in Belgium.” Health Policy128:69–74. https://doi.org/10.1016/j.healthpol.2022.11.013.
Van Gyes, G., L., Terlinden, and S., Vanderkerckhove. 2017. “Belgian Social Dialogue Since the Crisis: The Ups and Downs of an Organized System of Industrial RelationsGuardiancich, I., & Molina, O.Talking Through the Crisis59–105SwitzerlandInternational Labour Organization (ILO)
Waisberg, I., and A., Nelson. 2018. “When the General Meets the Particular: The Practices and Challenges of Interorganizational Knowledge Reuse.” Organization Science29 (3): 432–448. https://doi.org/10.1287/orsc.2017.1196.
Weibel, A., K., Rost, and M., Osterloh. 2010. “Pay for Performance in the Public Sector–Benefits and (Hidden) Costs.” Journal of Public Administration Research and Theory20 (2): 387–412. https://doi.org/10.1093/jopart/mup009.
Weick, K., K., Sutcliffe, and D., Obstfeld. 2005. “Organizing and the Process of Sensemaking.” Organization Science16 (4): 409–421. https://doi.org/10.1287/orsc.1050.0133.
Wye, L., E., Brangan, A., Cameron, J., Gabbay, J., Klein, R., Anthwal, and C., Pope. 2015. “What Do External Consultants from Private and Not-For-Profit Companies Offer Healthcare Commissioners? A Qualitative Study of Knowledge Exchange.” British Medical Journal Open5 (2): 1–9. https://doi.org/10.1136/bmjopen-2014-006558.
Ylönen, M., and H., Kuusela. 2019. “Consultocracy and Its Discontents: A Critical Typology and a Call for a Research Agenda.” Governance-An International Journal of Policy Administration and Institutions32 (2): 241–258. https://doi.org/10.1111/gove.12369.