1,720,970 research outputs found
Exploring multidimensional PMM reform within the complex dynamics of multi level institutions and constrained agency autonomy: A case study of a public hospital in China
No full textSince the emergence of New Public Management (NPM) and its goal of modernising public healthcare management, a significant body of management accounting literature has explored how the interplay of contextual factors as well as actors from different levels influences management accounting developments, mainly in the Western context. Building on the extant literature, this thesis aims to advance the current knowledge by using an institutional logic perspective to deconstruct the complex interests at play in shaping the performance measurement and management (PMM) of public hospitals at the social, field, organisational, and intra-organisational levels in the context of China’s public hospital management. Therefore, this thesis explores how the multidimensional performance measurement and management (PMM) reforms are shaped by the complex and dynamic interplay between multi-level institutions and the constrained autonomy of agents within Chinese public hospital setting—by adopting an Institutional Logics Perspective (ILP). Employing a case study in a tertiary hospital in the southwest of China, this thesis aims to answer three research questions: 1) How are PMM transformation and institutional complexity dynamics interrelated? 2) How do the organization respond to the institutional complexity dynamics in their environment through PMM reform? and 3) How is the intra-organisational institutionalisation of the PMM reform shaped by situated actors within the organisation? The findings of this research reveal the intricate and multifaceted affects by the coordination between the emerging managerial logic at Chinese public healthcare field and the high-level dominating state logic on shaping the field-level PMM transformation. This study highlights the fundamental influences of institutional complexity at the field level on the proactive managerial response to initiate a PMM reform, as observed in the case hospital. Additionally, the heterogeneity in departmental professional reputation, operational intricacy, and leadership paradigms potentially steers internal medical departments towards diverse reform response strategies and then culminates in internal complexity by internalising diverse departmental PMM practices. Then the inconsistency between the managerial objectives and the actual departmental practises concerning the reforms might result in a means-end decoupling of this PMM reform. The primary contribution of this study is its extension of the contextual explanation of institutional logics beyond Western public healthcare settings. Drawing on a multi-level study of a case hospital, this research presents a theoretical framework to deconstruct the pathway of the PMM reform across various internal units. This framework highlights the fundamental influences of partial autonomy on causing internal dynamics and diversity of different medical departments in their responses to and adoption of the reform. The study contends that the heterogeneity of subunits poses challenges to designing and implementing a uniform organizational reform aimed at addressing external institutional complexity dynamics. Crucially, an exclusive emphasis on addressing the multifaceted external institutional pressures, without considering subunit diversity, may lead to a 'means-end decoupling' during the reform of public organizations. Overall, this research sheds light on the complex interplay between institutional complexity, partial autonomy, and PMM reform in public hospitals, highlighting the need for nuanced approaches that recognising the diverse contexts and cultures in which such reforms are implemented. The findings have important implications for policy makers and management seeking to design and implement effective PMM reform in healthcare sectors across different cultural and institutional contexts
Hospital management accounting systems: evolving roles, actors, and interactions
No full textSeeking to offer an integrated understanding of Hospital Management Accounting Systems (HMAS) dynamics—through a synthesis of 196 studies on management accounting in public healthcare since 1980—we provide critical insights into HMAS roles—diagnostic, interactive, culture shaping, political, and symbolic—and their interconnections, shedding light on their (in)effectiveness in relation to relevant actors. The review highlights that different actors contribute significantly to the diverse roles of HMAS, while these roles—if functioning as mechanisms for meaningful change—in turn, impact their activities, managerial awareness, and power relationships. While being criticised for unintentionally intensifying value conflicts, HMAS changes reportedly have long-term impact on shaping organisational culture and reconciling values within broader public management transformations. It underscores the need for the longitudinal perspectives to better capture a holistic insight of the evolving roles and effectiveness of HMAS in empirical research. In this regard, the analytical framework we employed for examining the (in)effectiveness of HMAS and the underlying reasons through actors, roles, and interactions could provide a foundation for future empirical studies. Practically, this review advocates for greater involvement of medical professionals and patients in HMAS, promoting changes that balance flexibility with accountability while respecting medical professionals' autonomy through an interactive approach
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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