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Process orientation and management control in health care organizations

Paulsson, Gert LU (2017) In Modernizing the public sector 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)
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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
in
Modernizing the public sector
editor
Lapsley, Irvine; Knutsson, Hans ; and
pages
13 pages
publisher
Routledge Taylor & Francis Group
external identifiers
  • scopus:85026211513
ISBN
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
2017-08-31 11:19:24
@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    = {Process orientation and management control in health care organizations},
  editor       = {Lapsley, Irvine and Knutsson, Hans },
  isbn         = {978-1-138-67594-0},
  keyword      = {process orientation,Health Care,Management control},
  language     = {eng},
  pages        = {67--79},
  publisher    = {Routledge Taylor & Francis Group},
  series       = {Modernizing the public sector},
  title        = {Process orientation and management control in health care organizations},
  year         = {2017},
}