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Process orientation and management control in health care organizations

Paulsson, Gert LU (2017) In Routledge Critical Studies in Public Management p.67-79
Abstract
The public sector in Sweden has been an early adopter of public management reforms and the health care sector has been in the forefront of the development. In recent years, process orientation has been one key component in this endeavour. Studies in two health care organizations show that an increased focus on horizontal processes leads to changes in the management control system. However, it also shows that the vertical organization structure most often remains unchanged and that important management control devices like resource allocation in the budget process still are used in that structure. The management control devices that are focused on horizontal processes are mainly performance measurement systems. In addition to that, other... (More)
The public sector in Sweden has been an early adopter of public management reforms and the health care sector has been in the forefront of the development. In recent years, process orientation has been one key component in this endeavour. Studies in two health care organizations show that an increased focus on horizontal processes leads to changes in the management control system. However, it also shows that the vertical organization structure most often remains unchanged and that important management control devices like resource allocation in the budget process still are used in that structure. The management control devices that are focused on horizontal processes are mainly performance measurement systems. In addition to that, other types of informal devices like fora for dialogue, joint projects across organizational borders and leadership become more important in the management of horizontal processes. This is a challenge since these types of devices, which seem to be important for process orientation, have, so far, not been used a lot in public management in Sweden. (Less)
Please use this url to cite or link to this publication:
author
organization
alternative title
Process orientation and management control in health care organizations
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
process orientation, Health Care, Management control
host publication
Modernizing the public sector : Scandinavian perspectives - Scandinavian perspectives
series title
Routledge Critical Studies in Public Management
editor
Lapsley, Irvine and Knutsson, Hans
edition
1
pages
13 pages
publisher
Routledge
external identifiers
  • scopus:85026211513
ISBN
978-1-315-56032-8
978-1-138-67594-0
language
English
LU publication?
yes
id
d6e858f9-b968-47ab-8c6c-dae0234f916b
date added to LUP
2017-04-02 13:31:24
date last changed
2024-01-13 18:06:18
@inbook{d6e858f9-b968-47ab-8c6c-dae0234f916b,
  abstract     = {{The public sector in Sweden has been an early adopter of public management reforms and the health care sector has been in the forefront of the development. In recent years, process orientation has been one key component in this endeavour. Studies in two health care organizations show that an increased focus on horizontal processes leads to changes in the management control system. However, it also shows that the vertical organization structure most often remains unchanged and that important management control devices like resource allocation in the budget process still are used in that structure. The management control devices that are focused on horizontal processes are mainly performance measurement systems. In addition to that, other types of informal devices like fora for dialogue, joint projects across organizational borders and leadership become more important in the management of horizontal processes. This is a challenge since these types of devices, which seem to be important for process orientation, have, so far, not been used a lot in public management in Sweden.}},
  author       = {{Paulsson, Gert}},
  booktitle    = {{Modernizing the public sector : Scandinavian perspectives}},
  editor       = {{Lapsley, Irvine and Knutsson, Hans}},
  isbn         = {{978-1-315-56032-8}},
  keywords     = {{process orientation; Health Care; Management control}},
  language     = {{eng}},
  pages        = {{67--79}},
  publisher    = {{Routledge}},
  series       = {{Routledge Critical Studies in Public Management}},
  title        = {{Process orientation and management control in health care organizations}},
  year         = {{2017}},
}