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Framing Performance Management of Acute‐Care Hospitals by Interlacing NPM and Institutional Perspectives: A New Theoretical Framework
Author(s) -
Kelly Rosemarie,
Doyle Gerardine,
O'Donohoe Sheila
Publication year - 2015
Publication title -
financial accountability and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.661
H-Index - 44
eISSN - 1468-0408
pISSN - 0267-4424
DOI - 10.1111/faam.12047
Subject(s) - framing (construction) , irish , sociology , new public management , politics , public relations , political science , public sector , philosophy , linguistics , structural engineering , law , engineering
This paper develops a theoretical framework which combines ideas underlying new public management (NPM) with new institutional sociology (NIS) to explore the development of performance management during a period of healthcare reform. The framework distinguishes three categories of explanatory variables; NPM antecedents, the institutional environment and institutional elements within a three tier level of analysis; economic/political, organisational field and organisational unit level. Evidence to support the relevance and appropriateness of this framework is gathered within the Irish health service using in‐depth interviews, a questionnaire and documentary data. The application of the framework highlights that all antecedents of NPM can be influential and that all institutional elements can play a role at the three different levels of analysis.