The perceived managerial discretion: A methodological perspective

Journal title MANAGEMENT CONTROL
Author/s Valentina Beretta, Chiara Demartini, Sara Trucco
Publishing Year 2021 Issue 2021/suppl. 1
Language English Pages 18 P. 123-140 File size 196 KB
DOI 10.3280/MACO2021-001-S1007
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In the healthcare sector, the link between performance and outcomes is at best tenuous. Consequently, researchers have been called to move beyond activity-based performance and adopt quality and outcome-based measures. Most of the studies in this field have focused on the measurement of outcomes for either patients or wider society, while not exploring these for managers in the healthcare field. We therefore grounded our methodological note on the performance management literature and investigated the measurement of perceived managerial discretion. Our research aims to validate the perceived managerial discretion construct through confirmatory factor analysis of the data provided by 97 Italian healthcare managers. A principal component analysis’s results indicate that two items in three performance management mechanisms are sufficient to measure the perceived managerial discretion.

Keywords: Perceived managerial discretion, Performance measurement systems, Methodological perspective, Healthcare

  1. Andrews R., Boyne G.A., Enticott G. (2006), Performance failure in the public sector, Public Management Review, 8(2), pp. 273-296. DOI: 10.1080/1471903060058761
  2. Baker G.P. (1992), Incentive Contracts and Performance Measurement, Journal of Political Economy, 100(3), pp. 598-614.
  3. Bartlett W., Le Grand J. (1993), The theory of quasi-markets, Quasi-markets and social policy (pp. 13-34), London, Palgrave Macmillan.
  4. Basu S., Phillips R.S., Phillips R., Peterson L.E., Landon B.E. (2020), Primary Care Practice Finances In The United States Amid The COVID-19 Pandemic: Study estimates the potential impact of COVID-19 on operating expenses and revenues of primary care practices. Health Affairs, 39(9), pp.1605-1614.
  5. Beretta V., Crea G. (2020), Mapping Chronic Diseases in Italy: Trends from the last 20 years, Economia Aziendale Online, 10(4), pp. 585-606.
  6. Berliner C., Brimson J.A. (1991), Gestione dei costi per i nuovi sistemi industriali. Isedi, Torino (ed. or. Cost Management for Today’s Advanced Manufacturing. The CAM I Conceptual Design, Harvard Business School Press, Boston, 1988).
  7. Berta P., Seghieri C., Vittadini G. (2013). Comparing health outcomes among hospitals: the experience of the Lombardy Region. Health Care Manag Sci, 16(3), pp. 245-57.
  8. Bird S.M. (2004), Editorial: Performance Monitoring in the Public Services, Journal of the Royal Statistical Society, Series A (Statistics in Society), 167(3), pp. 381-383.
  9. Boyne G.A. (2006), Public Service Performance: Perspectives on Measurement and Management, Cambridge University Press.
  10. Brazier J., Deverill M., Green C. (1999), A Review of the Use of Health Status Measures in Economic Evaluation, Journal of Health Services Research Policy, 4(3), pp. 174-184. DOI: 10.1177/135581969900400310
  11. Brenna E., Spandonaro F. (2015), Regional incentives and patient cross-border mobility: evidence from the Italian experience, International journal of health policy and management, 4(6), 363.
  12. Carpenter M.A., Golden B.R. (1997), Perceived Managerial Discretion: A Study of Cause and Effect. Strategic Management Journal, 18(3), 187-206.
  13. Castellano N. (2011), Modelli e misure di performance aziendale: analisi della letteratura e spunti di ricerca, Management Control, 1, pp. 41-63. DOI: 10.3280/MACO2011-001003
  14. Castellano N.G., Lamboglia R., Mancini, D. (2017), Reshaping Accounting and Management Control Systems. K. Corsi (Ed.), Springer.
  15. Celik B., Ozden K., Dane S. (2020), The Effects of COVID-19 Pandemic Outbreak on the Household Economy, Journal of Research in Medical and Dental Science, 8(4), pp. 51-56.
  16. Cinquini L., Miraglia R.A., Giannetti R. (2016), Editoriale. Strumenti di gestione dei costi e misure di performance negli attuali contesti competitivi, Management Control, 2, pp. 5-14. DOI: 10.3280/MACO2016-002001
  17. Crossland C., Hambrick D.C. (2011), Differences in managerial discretion across countries: How nation-level institutions affect the degree to which ceos matter, Strategic Management Journal, 32(8), pp. 797-819.
  18. Elkomy S., Cookson G. (2020), Performance Management Strategy: Waiting Time in the English National Health Services, Public Organization Review, 20(1), pp. 95-112.
  19. Elwyn G., Buetow S., Hibbard J., Wensing M. (2007), Respecting the subjective: Quality measurement from the patient’s perspective. BMJ, British Medical Journal, 335(7628), pp. 1021-1022.
  20. Expert Group on Health Systems Performance Assessment. (2016). So what? Strategies across Europe to assess quality of care. European Union.
  21. Fattore G., Torbica A. (2006), Inpatient reimbursement system in Italy: how do tariffs relate to costs?, Health care management science, 9(3), pp. 251-258.
  22. Gandarillas M.Á., Goswami N. (2018), Merging current health care trends: innovative perspective in aging care, Clinical interventions in aging, 13, 2083.
  23. Garavaglia G., Lettieri E., Agasisti T., Lopez S. (2011), Efficiency and quality of care in nursing homes: an Italian case study, Health care management science, 14(1), pp. 22-35.
  24. Grigoroudis E., Orfanoudaki E., Zopounidis C. (2012), Strategic performance measurement in a healthcare organisation: A multiple criteria approach based on balanced scorecard. Omega, 40(1), pp. 104-119.
  25. Guan W.J. et al. (2020), Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis. European Respiratory Journal, 55(5).
  26. Hambrick D.C., Finkelstein S. (1987), Managerial discretion: A bridge between polar views of organizational outcomes, Research in Organizational Behavior, 9, pp. 369-406.
  27. Holmstrom B., Milgrom P. (1991), Multitask Principal-Agent Analyses: Incentive Contracts, Asset Ownership, and Job Design, Journal of Law, Economics and Organization, 7(0), pp. 24-52.
  28. Hood C. (1991), A Public Management for All Seasons, Public Administration, 69(1), pp 3-9.
  29. Inquiry T. M. S. N. F. T. (2010, February 24), Francis Report: Independent inquiry into care provided by Mid Staffordshire NHS Foundation Trust January 2005-March 2009 [Publication]. -- http://webarchive.nationalarchives.gov.uk/20130107105354/http:/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_113018.
  30. Jones P.J., Ma R., McNally R.J. (2019), Bridge centrality: A network approach to understanding comorbidity, Multivariate Behavioral Research, pp.1-15.
  31. Key S. (2002), Perceived Managerial Discretion: An Analysis Of Individual Ethical Intentions, Journal of Managerial Issues, 14(2), 218.
  32. Kogut B., Kulatilaka N. (1994), Operating Flexibility, Global Manufacturing, and the Option Value of a Multinational Network, Management Science, 40(1), pp. 123-139.
  33. Kooiman J. (2003), Governing as governance, Sage.
  34. Langabeer J.R., Yao E. (2012), The impact of chief executive officer optimism on hospital strategic decision making, Health Care Management Review, 37(4), pp. 310-319.
  35. Lohr K.N. (1988), Outcome measurement: Concepts and questions. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 25(1), pp. 37-50.
  36. Lynn Jr L.E., Heinrich C.J., Hill C.J. (2001). Improving governance: A new logic for empirical research, Georgetown University Press.
  37. Marasca S., Gatti M. (2020), Editoriale. Il gap tra teoria e prassi negli studi di management accounting nel settore pubblico: alcune riflessioni, Management Control, 1, pp. 5-10. DOI: 10.3280/MACO2020-001001
  38. Marchi L. (2015), Nuove prospettive di ricerca sulle tematiche di Management Control, Management Control, 3, pp. 5-8. DOI: 10.3280/MACO2015-003001
  39. Marchi L., Marasca S., Giuliani M. (2013), Valutare la ricerca nella prospettiva europea e internazionale: prime riflessioni, Management Control, 3, pp. 99-113. DOI: 10.3280/MACO2013-003006
  40. Marshall M.N. (1996), Sampling for qualitative research. Family practice, 13(6), pp. 522-526.
  41. Martin S., Smith P.C. (2005), Multiple Public Service Performance Indicators: Toward an Integrated Statistical Approach, Journal of Public Administration Research and Theory, 15(4), pp. 599-613.
  42. Meier K.J., O’Toole L.J., Goerdel H.T. (2006), Management Activity and Program Performance: Gender as Management Capital, Public Administration Review, 66(1), pp. 24-36.
  43. Meier K.J., O’Toole Jr L.J. (2007), Modeling public management: Empirical analysis of the management – performance nexus. Public Management Review, 9(4), pp. 503-527.
  44. Messiah A., Lacoste J., Gokalsing E., Shultz J. M., de la Vega P.R., Castro G., Acuna J.M. (2016), Mental health impact of hosting disaster refugees: Analyses from a random sample survey among Haitians living in Miami, Southern medical journal, 109(8), 458.
  45. Mkanta W.N., Katta M., Basireddy K., English G., de Grubb M.C.M. (2016), Theoretical and methodological issues in research related to value-based approaches in healthcare, Journal of Healthcare Management, 61(6), pp. 402-418.
  46. Naranjo-Gil D. (2009), Strategic performance in hospitals: The use of the balanced scorecard by nurse managers, Health care management review, 34(2), pp. 161-170.
  47. Nunnally J., Bernstein I. (1978), Psychometric theory, New York, McGraw-Hill.
  48. OECD (2015), OECD 2015 Health Statistics. Organisation for Economic Co-operation and Development. -- http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT.
  49. OECD (2019), Putting people at the centre of health care. PaRIS survey of Patients with Chronic Conditions. -- https://www.oecd.org/health/health-systems/PaRIS-survey-Patients-with-Chronic-Conditions-June-2019.pdf.
  50. Peters G., Savoie D.J. (2000), Governance in the twenty-first century: Revitalizing the public service, McGill-Queen’s Press-MQUP.
  51. Pierre J. (Ed.). (2000), Debating governance: Authority, steering, and democracy, Oxford, OUP.
  52. Porter M.E. (2010), What Is Value in Health Care?. New England Journal of Medicine, 363(26), pp. 2477-2481.
  53. Regioni (2016). Sanità: Bonaccini su riparto risorse 2016, “obiettivo raggiunto”, [Internet]. -- Available from: http://www.regioni.it/comunicato-stampa/2016/02/11/sanita-bonaccini-su-riparto-risorse-2016-obiettivo-raggiunto-443526/. Cited 27 July 2016.
  54. Reiter R., Klenk T. (2019), The manifold meanings of ‘post-New Public Management’– a systematic literature review, International Review of Administrative Sciences, 85(1), pp. 11-27.
  55. Ruggieri T.G., Berta P., Murante A.M., Nuti S. (2018), Patient satisfaction, patients leaving hospital against medical advice and mortality in Italian university hospitals: a cross-sectional analysis, BMC health services research, 18(1), pp. 1-9.
  56. Skoog M. (2020), Management Control Theory and Practice Integration - Challenges and Possibilities, Management Control, Suppl. 1, pp. 11-17. DOI: 10.3280/MACO2020-001-S1002.
  57. Sikka R., Morath J.M., Leape, L. (2015), The Quadruple Aim: care, health, cost and meaning in work.
  58. Simon H.A. (1991), Bounded Rationality and Organizational Learning. Organization Science, 2(1), 125-134.
  59. Sørensen M.-L. K., Burau V. (2015), Why we need to move beyond diagnosis-related groups and how we might do so, Journal of Health Services Research Policy. DOI: 10.1177/1355819615586444
  60. Spence Laschinger H. K., Shamian J. (1994), Staff Nurses’ and Nurse Managers’ Perceptions of Job-Related EMpowerment and Self-Efficacy, Journal of Nursing Administration, 24(10).
  61. Strandholm K., Kumar K., Subramanian R. (2004), Examining the interrelationships among perceived environmental change, strategic response, managerial characteristics, and organizational performance. Journal of Business Research, 57(1), pp. 58-68. DOI: 10.1016/S0148-2963(02)00285-0
  62. Suter E. et al (2017), Indicators and measurement tools for health systems integration: a knowledge synthesis, International journal of integrated care, 17(6).
  63. van der Kolk, B., van Veen-Dirks, P.M., ter Bogt H.J. (2019), The impact of management control on employee motivation and performance in the public sector. European Accounting Review, 28(5), pp. 901-928.
  64. Wall T.D., Michie J., Patterson M., Wood S.J., Sheehan M., Clegg C.W., West M. (2004), On the Validity of Subjective Measures of Company Performance. Personnel Psychology, 57(1), pp. 95-118.
  65. Wangrow D.B., Schepker D.J., Barker V.L. (2014), Managerial Discretion An Empirical Review and Focus on Future Research Directions, Journal of Management. DOI: 10.1177/0149206314554214
  66. Zander B., Dobler L., Busse R. (2013), The introduction of DRG funding and hospital nurses’ changing perceptions of their practice environment, quality of care and satisfaction: Comparison of cross-sectional surveys over a 10-year period, International Journal of Nursing Studies, 50(2), 219-229.
  67. Zhao X.-P., Chu P.-Y., Chen C.-Y. (2010), Perceived managerial discretion and firm performance: The moderating role of market competition, Social Behavior and Personality: An International Journal, 38(2), pp. 145-157.

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Valentina Beretta, Chiara Demartini, Sara Trucco, The perceived managerial discretion: A methodological perspective in "MANAGEMENT CONTROL" suppl. 1/2021, pp 123-140, DOI: 10.3280/MACO2021-001-S1007