Journal ArticleDOI
A conceptual framework for the analysis of health care organizations' performance.
Claude Sicotte,François Champagne,André-Pierre Contandriopoulos,Janet Barnsley,François Béland,Sandra G. Leggat,Jean-Louis Denis,Henriette Bilodeau,Ann Langley,M. Bremond,G. Baker +10 more
TLDR
Parsons' social system action theory is used to develop a comprehensive theoretically grounded framework by which to overcome the current fragmented approach to HCO performance management.Abstract:
Organizational performance remains an elusive concept despite its importance to health care organizations' (HCOs') management and analysis. This paper uses Parsons' social system action theory to develop a comprehensive theoretically grounded framework by which to overcome the current fragmented approach to HCO performance management. The Parsonian perspective focuses on four fundamental functions that an HCO needs to ensure its survival. Organizational performance is determined by the dynamic equilibrium resulting from the continual interaction of, and interchange among, these four functions. The alignment interchanges allow the creation of bridges between traditional models of organizational performance that are usually used as independent and competing models. The attraction of the Parsonian model lies in its capacity to: (1) embody the various dominant models of organizational performance; (2) present a strong integrative framework in which the complementarity of various HCO performance perspectives are well integrated while their specificity is still well preserved; and (3) enrich the performance concept by making visible several dimensions of HCO performance that are usually neglected. A secondary objective of this paper is to lay the foundation for an integrative process of arbitration among competing indicators and perspectives which is absolutely necessary to make operational the Parsonian model of HCO performance. In this matter, we make reference to the theory of communicative action elaborated by Habermas. It offers, we think, a challenging and refreshing perspective on how to manage HCO performance evaluation processes.read more
Citations
More filters
Book ChapterDOI
Economy and Society
TL;DR: The four Visegrad states (Poland, Czech Republic, Slovakia and Hungary) form a compact area between Germany and Austria in the west and the states of the former USSR in the east as discussed by the authors.
Journal ArticleDOI
The Theory of Communicative Action, Vol. 1, Reason and the Rationalization of Society
Roy Boyne,Jürgen Habermas +1 more
Journal ArticleDOI
An institutional perspective on performance measurement and management in the `new public sector'
Stan Brignall,Sven Modell +1 more
TL;DR: In this paper, the authors explore the implications of institutional theory for the successful implementation of multidimensional performance measurement and management in the public sector, and discuss the influence of these core concepts on the possibilities of achieving some balance between the stakeholder interests examined in the overall control of provider organizations.
Journal ArticleDOI
A conceptual framework for the OECD Health Care Quality Indicators Project.
TL;DR: In this paper, a conceptual framework for the Health Care Quality Indicator (HCQI) Project of the Organization for Economic Cooperation and Development (OECD), which is aimed at developing a set of indicators for comparing the quality of health care across OECD member countries, is presented.
Journal ArticleDOI
A performance assessment framework for hospitals: the WHO regional office for Europe PATH project.
Jeremy Veillard,François Champagne,Nicolaas S. Klazinga,V. Kazandjian,Onyebuchi A. Arah,Ann-Lise Guisset +5 more
TL;DR: This project aims at supporting hospitals in assessing their performance, questioning their own results, and translating them into actions for improvement, by providing hospitals with tools for performance assessment and by enabling collegial support and networking among participating hospitals.
References
More filters
Competing paradigms in qualitative research.
Egon G. Guba,Yvonna S. Lincoln +1 more
TL;DR: This is also one of the factors by obtaining the soft documents of this competing paradigms in qualitative research by online as discussed by the authors. But, it will totally squander the time.
Book
The Social System
TL;DR: In the history of sociological theory, Talcott Parsons holds a very special place. as discussed by the authors presents a major scientific and intellectual advance towards the theory of action first outlined in his earlier work.
Book
Fourth Generation Evaluation
Egon G. Guba,Yvonna S. Lincoln +1 more
TL;DR: The coming of age of evaluation What is fourth generation evaluation? Why should we choose to practice it? What Is this Constructivist Paradigm Anyway? Ethics and Politics The Twin Failures of Positivist Science Constructions and Reconstructions of Realities Paradigms and Methodologies The Methodology of Fourth Generation Evaluations Judging the Quality of 4G Evaluation Putting It All Together so that It Spells E-V-A-L-U-A -T-I-O-N
Book
The Theory of Communicative Action
Jürgen Habermas,Thomas McCarthy +1 more
TL;DR: In this article, an apex seal for a rotary combustion engine is disclosed having a hollow, thin wall, tubular, metal core member embedded in an extruded composite metal-carbon matrix, adapted to slideably engage the slot of the rotor in which it rides and sealingly engage the rotor housing against which it is spring and gas pressure biased.
Journal ArticleDOI
The Social System.
Ellsworth Faris,Talcott Parsons +1 more
TL;DR: In the history of sociological theory, Talcott Parsons holds a very special place. as mentioned in this paper presents a major scientific and intellectual advance towards the theory of action first outlined in his earlier work.
Related Papers (5)
A Spatial Model of Effectiveness Criteria: Towards a Competing Values Approach to Organizational Analysis
Robert E. Quinn,John Rohrbaugh +1 more