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Bureaucracy and the balanced scorecard in health care settings

dc.contributor.authorCosta Oliveira, Helena
dc.contributor.authorRodrigues, Lúcia Lima
dc.contributor.authorCraig, Russell
dc.date.accessioned2022-01-03T16:12:35Z
dc.date.available2022-01-03T16:12:35Z
dc.date.issued2020
dc.description.abstractPurpose – We explore the relationship between the Balanced Scorecard (BSC) and neo- bureaucracy by investigating whether the operationalization of the BSC incorporates ‘neo- bureaucratic’ ideas; and whether the BSC implemented in a Portuguese Local Health Unit (LHU) evidences a neo-bureaucratic approach. Design/methodology/approach – We conduct semi-structured interviews with LHU staff and analyse documents to assess whether features of bureaucratic organization were evident in the use of a BSC by the LHU. Findings – We found nine bureaucratic features evident in the LHU’s BSC. These were systematization, rationality, authority, jurisdiction, professional qualification, knowledge, discipline, transparency, and accountability. The BSC used at the LHU evidenced a neo- bureaucratic approach. Originality/value – Our study helps to demystify bureaucracy and overcome prevailing prejudices regarding some of its principles. Health care managers should recognize and endorse neo-bureaucratic principles in developing a BSC. They should recognize the BSC as involving a neo-bureaucratic approach. The BSC is a valuable management tool that hospital managers should find useful fostering flexibility, collaboration, innovation and adaptation – all of which should help lead to improved health care outcomes.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCraig, R. and Oliveira, H. and Rodrigues, L. L. (2020) 'Bureaucracy and the balanced scorecard in health care settings.', International journal of health care quality assurance., 33 (3). pp. 247-259.pt_PT
dc.identifier.doi10.1108/IJHCQA-07-2019-0121pt_PT
dc.identifier.issn0952-6862
dc.identifier.urihttp://hdl.handle.net/10400.22/19267
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherEmerald Publishing Limitedpt_PT
dc.relation.publisherversionhttps://www.emerald.com/insight/content/doi/10.1108/IJHCQA-07-2019-0121/full/htmlpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectBalanced scorecardpt_PT
dc.subjectBureaucracypt_PT
dc.subjectHealth care managementpt_PT
dc.subjectManagement accountingpt_PT
dc.subjectOrganizationspt_PT
dc.subjectPortugalpt_PT
dc.titleBureaucracy and the balanced scorecard in health care settingspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage259pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage247pt_PT
oaire.citation.titleInternational Journal of Health Care Quality Assurancept_PT
oaire.citation.volume33pt_PT
person.familyNameCosta Oliveira
person.givenNameHelena
person.identifier.ciencia-id231A-00C4-C28A
person.identifier.orcid0000-0001-5839-168X
person.identifier.ridA-3405-2017
person.identifier.scopus-author-id57191039548
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication5446d67a-f6a2-4038-b38c-68360ea69010
relation.isAuthorOfPublication.latestForDiscovery5446d67a-f6a2-4038-b38c-68360ea69010

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