Search results for "Group Model Building"

Using Group Model Building and System Dynamics Modeling in Health Care Quality Assessment

Introduction & Research Aim Drawing from previous research on performance management, arguing that measurement systems in the public sector sometimes lead to harmful outcomes (Bianchi, 2010, 2015; Bivona & Montemaggiore, 2010), the purpose of this study is to assess the long-term dynamic impact of “ESY-net” (i.e. the Greek public hospitals' national performance measurement system) on the quality of healthcare services. Methods As hospital quality is a quite broad and abstract concept, perceived differently by different stakeholders, we will take a systemic view (Meadows, 2008; Sterman, 1994) and use Group Model Building (GMB) (De Gooyert, 2016, 2018; De Gooyert, Honingh, & Van G…

Why do Traditional Performance Management Systems in Healthcare not always lead to Improved Performance? Outlining the Unintended Consequences of the…

2021

Researchers all around the globe have not yet come to an end as regards the supposed positive impact of traditional performance management systems in healthcare, and some research has shown that, paradoxically, performance management policies do not always lead to improved hospital performance. Despite the extensive research identifying the “pitfalls” of the NPM reforms around Europe and the unintended consequences for hospital staff and patients, little is known about the mechanisms that caused those negative effects, which essentially creates a research gap worth investigating. This PhD study tries to address this gap and show why do traditional PM Systems in healthcare not always lead to…

Using System Dynamics and Group Model Building to conceptualise Quality of Hospital Services

Despite the well-established Donabedian model of hospital quality and the notion that Performance Measurement (PM) leads to improved quality of healthcare services (Donabedian, 1988; 2005), a growing part of literature during the last two decades has started doubting those favourable outcomes of PM on quality (De Vos, et al., 2009; Nolan & Berwick, 2006; Werner et al., 2008a, 2008b; Werner & Bradlow, 2006; Wright & Hershman, 2014). The purpose of this research study is to build a more comprehensive conceptual model of hospital quality, able to encompass the feedback mechanisms between elements that the Donabedian model fails to capture. More specifically, we empirically establis…