New Public Management, NPM, hospital management, value-based management, rule-based management, COVID-19, healthcare crisis, management crisis, public hospitals, healthcare management
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Abstract
Analysis of hospital management issues under the New Public Management paradigm and the proposed value-based management approach.
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[...] Continuing his reasoning, Vinot indicates that the solution lies in the renewal of managerial practices that must be focused on a 'shared leadership' and 'integrative skills' that bring together healthcare professionals around common projects. The author introduces the concept of value-based management, based on a coordination of actions around patient care and respect for their preferences, as the solution to the hospital management crisis. Epistemological positioning The epistemological positioning of the article is situated within an approach critical realism. Critical realism is an approach that accepts an objective reality, but also recognizes the importance of social constructions and individual perceptions. It allows for the mixed use of quantitative and qualitative methods. [...]
[...] This approach consists of taking into account the data from the field as completely as possible in order to achieve a deep understanding of their complexity, before resorting to theoretical and practical modeling. Unlike the hypothetico-deductive approach, which starts from a theoretical explanatory model to then test data, the empirico-inductive approach prioritizes field observation, allowing theoretical models to emerge from the data themselves. What is grey literature? The Afnor defines grey literature as any 'typed or printed document, often of a provisional nature, reproduced and disseminated in a number of copies less than a thousand, outside the commercial circuits of publishing and dissemination'. [...]
[...] The the relationship between epistemology and research methods the relationship is that there is no close relationship between a researcher's epistemological perspective and the methods of data collection and processing that he chooses. Being inscribed in an epistemological perspective is more about the research question, the way the researcher implements data collection and analysis methods, the nature of the produced knowledge, and the validity criteria or modes of justification on which they rely. Methodological choices change profoundly depending on epistemological approaches. The three main epistemological orientations are positivism, interpretivism, and critical realism. [...]
[...] The theme can be a concept, a phenomenon, a set of questions, it serves as a starting point for research. The research subject constitute the problem that the researcher wants to question with their own methodological approach. It can come from a concrete observed problem or a general theme of interest for the researcher. To constitute their research subject, the researcher can cross different starting points. The object of a research is the general question (or even the problem) that the research strives to satisfy, in other words, it represents the objective that we are trying to achieve. [...]
[...] Value-based Management (VBM) is a concept that emerged in the Anglo-Saxon literature at the end of the 80s. Applied to the health sphere, it promotes a care-centered management, aiming to coordinate actions and align with patient needs rather than purely economic objectives. This concept is opposed to that of rule-based management, which includes New Public Management, through which the pursuit of performance at all costs ultimately obscures the deep values of the organization. Identification of the theory A theory is a structured set of linked propositions that attempt to explain specific phenomena. [...]
