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Exploring healthcare authorities’ decisions to sustain or abandon a management control initiative 探讨医疗机构决定维持还是放弃管理控制举措
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-07-19 DOI: 10.1111/faam.12376
Anna H Glenngård, Lina Maria Ellegård

We explore how a management control initiative travels across and is translated within organizations—from the decision motives for adoption or rejection to the subsequent decision motives for sustaining or abandoning the control—through the lens of diffusion theory. Our empirical case is the journey of activity-based funding of hospitals across 21 Swedish healthcare authorities. We develop a framework in which the abandonment or sustainment of a management control is explained by the interplay between the decision motive underlying the adoption and the propensity to continuously adapt it in response to new organizational goals and circumstances. This propensity is determined by fits and misfits between organizational characteristics and properties of the control.

我们通过传播理论的视角,探讨管理控制举措如何在组织内传播和转化--从采用或拒绝的决策动机,到随后维持或放弃控制的决策动机。我们的实证案例是瑞典 21 家医疗机构基于活动的医院拨款的历程。我们建立了一个框架,在这个框架中,放弃或维持一项管理控制的原因是采用控制的决策动机与根据新的组织目标和环境不断调整控制的倾向之间的相互作用。这种倾向是由组织特征与控制特性之间的匹配与不匹配决定的。
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引用次数: 0
The quest for legitimacy: The European Court of Auditors’ work on fraud 寻求合法性:欧洲审计法院在欺诈方面的工作
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-07-06 DOI: 10.1111/faam.12375
Andreea Hancu-Budui, Ana Zorio-Grima, Jose Blanco-Vega

This research aims to contribute to the debate on fraud on public funds and the work that public auditors perform on this important topic, providing a useful analysis for government officials concerned about accountability, good governance, and transparency. This article presents a retrospective analysis of the European Court of Auditors’ (ECA) role in combating and preventing fraud. Using innovative research tools such as the Valence Aware Dictionary and sEntiment Reasoner lexicon and other quantitative and qualitative research methods, evidence is found that ECA fraud audits reach a more negative tone in their conclusions than in the rest of the audits and that their audit recommendations on fraud are accepted to a lesser degree than the rest. Although in recent years the ECA has taken a more active role regarding fraud and stirring the public debate on this topic, its work is still hampered by its non-jurisdictional statute. The results obtained contribute to the literature on fraud in the public sector by bringing empirical evidence on public sector fraud audit with data of an under-researched and unique Supreme Audit Institution. This article opens up new avenues for future research and has practical implications for practitioners by offering them insights on their role on the issue, thus helping them to address some areas more prone to be affected by fraud.

本研究旨在为有关公共资金欺诈的讨论以及公共审计师在这一重要课题上所做的工作做出贡献,为关注问责制、良好治理和透明度的政府官员提供有用的分析。本文对欧洲审计法院(ECA)在打击和预防欺诈方面的作用进行了回顾性分析。通过使用创新的研究工具(如 Valence Aware Dictionary 和 sEntiment Reasoner 词典)以及其他定量和定性研究方法,我们发现有证据表明,与其他审计相比,欧洲审计院的舞弊审计结论更具负面色彩,其关于舞弊的审计建议被接受的程度也低于其他审计。尽管近年来非洲经委会在欺诈问题上发挥了更积极的作用,并引发了公众对这一问题的讨论,但其工作仍受到其非管辖法规的阻碍。本文的研究成果为有关公共部门舞弊的文献做出了贡献,利用研究不足且独一无二的最高审计机关的数据,为公共部门舞弊审计提供了经验证据。本文为今后的研究开辟了新的途径,并为从业人员提供了在这一问题上所扮演角色的见解,从而帮助他们解决一些更容易受到舞弊影响的领域的问题,具有实际意义。
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引用次数: 0
Turning performance measurement on its head: From the measurement of performance to the performativity of measuring 从头开始进行性能测量:从性能测量到测量的性能
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-06-27 DOI: 10.1111/faam.12374
Ed Vosselman, Ivo De Loo

This paper develops a performativist metaphysical grounding of NPM-based performance measurement as a radical alternative to a representationalist grounding, an alternative that turns performance measurement on its head. Performance measurement turns from an act of representation characterized by a metaphor of reflection into an ethical practice of mattering characterized by a metaphor of diffraction. In performativism, performance measurement does not (imperfectly) represent performance as a base for knowing and intervention from afar (both in terms of space and time) but is somehow performative of who and what come to count in the world. Its exclusionary character makes it an inherently ethical practice. We contrast a performativist grounding of performance measurement with a representationalist grounding and rework concepts of responsibility and accountability. We illustrate a performativist grounding of performance measurement with examples from academia and healthcare and provide a direction for future research.

本文发展了基于NPM的绩效测量的绩效主义形而上学基础,作为代表主义基础的根本替代方案,代表主义基础是一种颠覆绩效测量的替代方案。绩效衡量从一种以反思隐喻为特征的表征行为转变为一种以衍射比喻为特征的物质伦理实践。在行为主义中,绩效衡量并不是(不完美地)将绩效作为从远处(无论是在空间还是时间方面)了解和干预的基础,而是在某种程度上对世界上谁和什么起作用的表现。它的排斥性使它成为一种内在的道德实践。我们将绩效衡量的绩效主义基础与责任和问责的代表主义基础和返工概念进行了对比。我们用学术界和医疗保健界的例子说明了绩效测量的绩效主义基础,并为未来的研究提供了方向。
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引用次数: 0
Navigating uncertainty: The resilience of third-sector organizations and socially oriented small- and medium-sized enterprises during the COVID-19 pandemic 驾驭不确定性:第三部门组织和面向社会的中小型企业在 COVID-19 大流行期间的复原力
IF 3.1 Q2 BUSINESS, FINANCE Pub Date : 2023-06-27 DOI: 10.1111/faam.12373
José M. Liñares-Zegarra, John O. S. Wilson

This paper investigates the impact of the COVID-19 pandemic on U.K. third-sector (nonprofit organizations and social enterprises) and socially oriented small- and medium-sized enterprises (SMEs), and provides insights regarding their organizational resilience. Using data from the Longitudinal Small Business Survey, the results of an extensive empirical analysis suggest that relative to commercial (for-profit) SMEs, social enterprises were less likely, and socially oriented SMEs more likely to perceive the pandemic as an obstacle to business success. Third-sector and socially oriented SMEs were more likely to increase their activities compared to commercial SMEs. Moreover, the COVID-19 pandemic appears to have had a differential impact on the future plans of third-sector and socially oriented SMEs relative to commercial SMEs. Third-sector organizations were less likely to use government-backed loans, suggesting a need for alternative forms of support or financing to weather economic disruptions. Overall, our analysis suggests a resiliency and versatility among third-sector and socially oriented SMEs in dealing with unexpected and significant external shocks.

本文研究了 COVID-19 大流行病对英国第三部门(非营利组织和社会企业)和面向社会的中小型企业(SMEs)的影响,并就其组织复原力提出了见解。利用小企业纵向调查(Longitudinal Small Business Survey)的数据,广泛的实证分析结果表明,与商业性(营利性)中小企业相比,社会企业不太可能将大流行病视为企业成功的障碍,而面向社会的中小企业则更可能将其视为企业成功的障碍。与商业中小型企业相比,第三产业和社会型中小型企业更有可能增加其活动。此外,与商业性中小企业相比,COVID-19 大流行病似乎对第三产业和社会型中小企业的未来计划产生了不同的影响。第三部门组织不太可能使用政府支持的贷款,这表明它们需要其他形式的支持或融资来抵御经济混乱。总之,我们的分析表明,第三产业和面向社会的中小企业在应对意想不到的重大外部冲击时具有应变能力和多功能性。
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引用次数: 0
Key forces compelling the monitoring of hospital performance: An exploratory study 迫使医院绩效监测的关键力量:一项探索性研究
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-06-06 DOI: 10.1111/faam.12372
Rosemarie Kelly, Sheila O'Donohoe, Gerardine Doyle

Performance management in the public sector is both multifaceted and convoluted. This is particularly pertinent in hospitals, which are complex institutional organizations. Our paper explores the key drivers compelling Irish public acute-care hospitals to monitor their performance. The context of our study is located against the unique historical backdrop of the Irish health service, whose evolution over time reflects religious control, underfunding by the State and reliance on a decentralized structure up until the early 2000s. This study was conducted during 2009–2010, in the aftermath of the financial crisis of 2008–2009. Interviews were conducted with members of the hospital executive management team, comprising clinical and nonclinical senior managers, using the framework of Kelly et al. (2015) to explore and analyze respondent perspectives. We propose that a combination of key forces, emanating from new public management, the institutional environment, and its constituent elements spurs hospitals to monitor their performance. The confluence of these forces reveals a perceived change in the institutional logic underpinning hospital performance management. This change involved the substitution of autonomous clinical decision-making for a more team-based managerial logic whereby clinicians engaged as part of a multidisciplinary executive unit and accepted responsibility for hospital performance. This paper contributes to the literature on performance management in public services and, more specifically, builds on and addresses the paucity of research on Irish acute-care hospitals.

公共部门的绩效管理是多方面的,也是错综复杂的。这在医院尤其重要,因为医院是复杂的机构组织。我们的论文探讨了促使爱尔兰公立急性护理医院监测其表现的关键驱动因素。我们研究的背景是爱尔兰医疗服务的独特历史背景,其随着时间的推移而演变,反映了直到21世纪初的宗教控制、国家资金不足以及对权力下放结构的依赖。这项研究是在2008-2009年金融危机之后的2009-2010年期间进行的。采用Kelly等人的框架,对医院执行管理团队的成员进行了访谈,该团队包括临床和非临床高级管理人员。(2015)探讨和分析受访者的观点。我们建议,由新的公共管理、制度环境及其组成要素产生的关键力量的结合,促使医院监测其绩效。这些力量的汇合揭示了支撑医院绩效管理的制度逻辑的明显变化。这一变化涉及到用更基于团队的管理逻辑取代自主临床决策,临床医生作为多学科执行单元的一部分参与进来,并接受对医院绩效的责任。本文对公共服务绩效管理的文献做出了贡献,更具体地说,它建立在爱尔兰急性护理医院研究的基础上,并解决了这一问题。
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引用次数: 0
University research by the numbers: Epistemic methods of using digitized performance measures and their implications for research practices 数字大学研究:使用数字化绩效衡量标准的认识方法及其对研究实践的影响
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-05-07 DOI: 10.1111/faam.12367
Sara Giovanna Mauro, Lino Cinquini, Margit Malmmose, Hanne Nørreklit

This paper explores the way by which universities create meaning of digitized performance measures on research quality and their effects on university scholars’ actions. Drawing on pragmatic constructivism, we scrutinize the epistemic methods by which the digitized performance measures of research quality are handled and used in the governance of research activities in two disciplinary fields in two university settings (Denmark and Italy) and their implications for constructing scholarly research practices. The analysis elucidates exemplars of two epistemic methods of building meaning of and using digitized performance measures: one reflective and interactive, and one authoritative and mechanical. The latter constrains the researchers’ scholarly reasoning and communication and, hence, infringes upon the scholarly fundamentals of university practices. The paper concludes that if the issues of misconceptions of research quality related to the transitions from analog to digital language are neglected, the digital transformation results in dysfunctional human and social practices.

本文探讨了大学如何创造研究质量数字化绩效指标的意义及其对大学学者行动的影响。我们借鉴实用建构主义,仔细研究了在两所大学(丹麦和意大利)的两个学科领域的研究活动管理中处理和使用研究质量数字化绩效指标的认识论方法,以及它们对建构学术研究实践的影响。分析阐明了构建和使用数字化绩效指标意义的两种认识论方法范例:一种是反思性和互动性方法,另一种是权威性和机械性方法。后者限制了研究人员的学术推理和交流,从而侵犯了大学实践的学术基础。本文的结论是,如果忽视了与从模拟语言向数字语言过渡相关的研究质量误解问题,那么数字化转型就会导致人类和社会实践功能失调。
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引用次数: 1
Project ABC: Unanticipated affinities and affect in hospital health care ABC项目:医院医疗保健中的意外关联和影响
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-04-28 DOI: 10.1111/faam.12366
Ana Conceição, Maria Major, Stewart Clegg

In this paper, we present an analysis of how activity-based costing (ABC) was included among austerity policy prescriptions within the healthcare sector. Relying on the proposition that an increasing quality of outcomes is achievable simultaneously with a reduction in costs, ABC straddled tensions between the logics of care and business for clinicians but not for administrators. We draw on case study research and use institutional logics and related approaches to analyze how the introduction of ABC became a device that improved communication by clinicians with administrators. When actors’ interests and motivations were aligned, ABC was able to offer professional clinicians value in the hospital in question. The study demonstrates how and why competing logics can coexist where there is ability to affect decision-making.

在这篇论文中,我们分析了基于作业成本法(ABC)是如何被纳入医疗保健部门的紧缩政策处方的。基于提高结果质量和降低成本是可以同时实现的这一命题,ABC跨越了临床医生而非管理人员的护理逻辑和业务逻辑之间的紧张关系。我们利用案例研究,并使用制度逻辑和相关方法来分析ABC的引入是如何成为一种改善临床医生与管理人员沟通的设备的。当演员的兴趣和动机一致时,ABC能够为相关医院的专业临床医生提供价值。该研究证明了在有能力影响决策的情况下,竞争逻辑是如何以及为什么可以共存的。
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引用次数: 0
Management accounting and control systems as devices for public value creation in higher education 管理会计和控制系统是高等教育创造公共价值的工具
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-04-16 DOI: 10.1111/faam.12365
Luc Salemans, Tjerk Budding

This paper investigates how management accounting and control systems (operationalized by using Simons’ levers of control framework) can be used as devices to support public value creation and as such it contributes to the literature on public value accounting. Using a mixed methods case study approach, including documentary analysis and semi-structured interviews, we found diverging uses of control systems in the Dutch university of applied sciences we investigated. Although belief and interactive control systems are used intensively for strategy change and implementation, diagnostic controls were used mainly at the decentral level and seen as devices to make sure that operational and financial boundaries were not crossed. Therefore, belief and interactive control systems lay the foundation for the implementation of a new strategy, in which concepts of public value play a large role, using diagnostic controls to constrain actions at the operational level. We also found that although the institution wanted to have interaction with the external stakeholders, in daily practice, this takes place only at the phase of strategy formulation, but not in the phase of intermediate strategy evaluation.

本文研究了管理会计和控制系统(通过使用西蒙斯的控制杠杆框架进行操作)如何被用作支持公共价值创造的工具,从而为有关公共价值会计的文献做出了贡献。我们采用混合方法进行案例研究,包括文献分析和半结构式访谈,发现我们调查的荷兰应用科学大学对控制系统的使用各不相同。虽然信念和互动控制系统被大量用于战略变革和实施,但诊断控制主要用于分散层面,并被视为确保业务和财务界限不被逾越的工具。因此,信念和互动控制系统为新战略的实施奠定了基础,在新战略中,公共价值的概念发挥了重要作用,并利用诊断控制来约束业务层面的行动。我们还发现,尽管该机构希望与外部利益相关者进行互动,但在日常实践中,这种互动只发生在战略制定阶段,而不发生在中期战略评估阶段。
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引用次数: 1
Backsourcing in the private and public sectors—A systematic review 私营部门和公共部门的后台——系统综述
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-04-08 DOI: 10.1111/faam.12361
Johan Berlin, Eric Carlström, David Karlsson

This article provides a systematic review of the literature on backsourcing. The aim is to synthesize existing literature in order to compare and analyze similarities and differences in backsourcing in the private and public sectors. The study asks questions about: which methods and theories have been used, why backsourcing has been implemented, and what reasons have been described for backsourcing. The study is based on an analysis of 500 articles about backsourcing and 33 articles in the final data set. The results show that backsourcing is primarily caused by: increased costs, lack of quality, and contract problems in the private sector, along with loss of control, cost saving, and changed strategy in the public sector. The study's synthesis highlights three explanations for how backsourcing is managed and interpreted in both the sectors. The article contributes specifically to summarizing current research on backsourcing, synthesizing how backsourcing has been studied, illustrating gaps in the research, as well as explaining relevant differences between private and public backsourcing.

这篇文章提供了一个系统的回顾文献的背景。其目的是综合现有文献,以比较和分析私营和公共部门在后台工作方面的异同。这项研究提出了以下问题:使用了哪些方法和理论,为什么实施了后移,以及描述了后移的原因。这项研究基于对500篇关于后场的文章和最终数据集中的33篇文章的分析。结果表明,落后的主要原因是:私营部门的成本增加、质量不足和合同问题,以及公共部门的失控、成本节约和战略变化。这项研究的综合强调了对两个行业如何管理和解释后场的三种解释。这篇文章专门总结了目前对后移的研究,综合了后移的方法,说明了研究中的差距,并解释了私人和公共后移之间的相关差异。
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引用次数: 0
A history of net debt as a reflection of Canadian federal government fiscal management 反映加拿大联邦政府财政管理的净债务历史
IF 2.2 Q2 BUSINESS, FINANCE Pub Date : 2023-04-04 DOI: 10.1111/faam.12363
Ron Baker, Morina D. Rennie

Canada entered the COVID-19 pandemic with a strong fiscal position, which gave it room to mitigate its economic impacts. Of interest in this paper is the history of Canada's financial position in terms of net debt as reported in the Government of Canada's annual financial statements. Net debt is a measure of fiscal sustainability that has been reported in the Government of Canada's public accounts since the country's earliest days. It created (and continues to create) a particular visibility of the “effectiveness” of the federal government's financial management and of the country's financial position at a particular point in time but also impacts future political policy. Although there were periods of sharp increases in the federal net debt over the country's history, the federal government was always able to regain control, and this has resulted in the reasonable level of net debt the country has today. This study shows how this net debt changed, was sustained over time, and was influenced by the political and economic context in which it was situated. We find evidence of its use for supporting government accountability to the population but also as an accounting measure employed by the government to influence public opinion and thereby gain support for government policy.

加拿大在进入新冠肺炎疫情时拥有强大的财政状况,这为其减轻经济影响提供了空间。本文感兴趣的是加拿大政府年度财务报表中报告的加拿大净债务财务状况的历史。净债务是衡量财政可持续性的一项指标,自加拿大成立之初就已在该国政府的公共账户中报告。它创造了(并继续创造)联邦政府财务管理的“有效性”和国家在特定时间点的财务状况的特殊可见性,但也影响了未来的政治政策。尽管在该国历史上,联邦净债务曾有过大幅增长的时期,但联邦政府始终能够重新获得控制权,这导致了该国今天的净债务水平合理。这项研究表明,这种净债务是如何随着时间的推移而变化、持续的,并受到其所处政治和经济环境的影响。我们发现有证据表明,它用于支持政府对民众的问责,同时也是政府用来影响公众舆论从而获得对政府政策支持的一种会计措施。
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引用次数: 0
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Financial Accountability & Management
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