#12282. The performance management design in public hospitals: A case study

August 2026publication date
Proposal available till 01-06-2025
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Journal’s subject area:
Sociology and Political Science;
Public Administration;
Sociology and Political Science;
Economics, Econometrics and Finance (miscellaneous);
Public Administration;
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More details about the manuscript: Science Citation Index Expanded or/and Social Sciences Citation Index
Abstract:
In response to the growing pressure on public budgets, many countries introduced various management practices to improve the performance of publicly funded health systems. Regardless, the non-negligible share of healthcare spending is still considered wasteful, and the search for efficiency gains in healthcare is still relevant. The relevance even increases in the context of events related to the outbreak of the coronavirus disease. Considering the gaps between the environmental settings of various countries, a finding of one universal theory of effective hospital management is unlikely. The contextual examination of hospital management on the national level and knowledge-sharing is then a more suitable approach to aid the practitioners in search of the most appropriate mix of management practices. This study examines individual aspects of performance management from the hospital managements perspective to identify the areas of potential efficiency gains. The core research phase consisted of on-site visits in three public hospitals; the respondents (clinicians and non-clinicians) were asked to fill out the questionnaire examining the aspects of the performance management system employed in their institution (e.g., the scope of measurement, reliability of data, communication of results, engagement of management). The findings were similar among all examined institutions and mostly consistent with similarly natured studies. While the performance measurement appeared to reflect the clinical performance better than the organizational one, it is also perceived as inadequate to the complexity of service.
Keywords:
Czech Republic; healthcare management; Performance management; performance measurement; public hospital

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