A Performance Management System in Healthcare for All Seasons?

Milena Vainieri, Guido Noto, Francesca Ferre and Laura C. Rosella
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Milena Vainieri: Management and Health laboratory, Institute of Management, Department Embeds, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy
Guido Noto: Department of Economics, University of Messina, 98122 Messina, Italy
Francesca Ferre: Management and Health laboratory, Institute of Management, Department Embeds, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy
Laura C. Rosella: Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada

IJERPH, 2020, vol. 17, issue 15, 1-10

Abstract: Health systems face challenges which are inherent to care demand and supply evolution (i.e., demographic change, new technologies) or are the results of unexpected occurrence originating outside the health system, such as economic shocks or epidemic outbreaks. Both challenges often require a paradigm shift in governance and organization, financing and resource allocation, accountability frameworks, as well as public health system responses. Based on key reviews and seminal papers of performance management, public health, sustainability and resilience, the article presents three emerging challenges for performance management systems in healthcare: i) the inclusion of the population approach; ii) the measurement and consideration of the multi-facets concepts of value; iii) the importance of resilience and sustainability. Performance management systems need to evolve to cope with this changing scenario. The article sheds light on uncovered areas by performance management, and it proposes a research agenda for scholars of both performance management and health service research.

Keywords: performance management system; population; value; resilience; sustainability; healthcare (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (6)

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