环境不确定性对 COVID-19 大流行期间绩效的影响:决策结构的中介作用

Niluh Putu Dian Rosalina Handayani Narsa, Lintang Lintang Merdeka, Kadek Trisna Dwiyanti
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引用次数: 0

摘要

目的本研究的主要目的是调查决策结构对感知环境不确定性与医院绩效之间关系的中介效应。本研究的目标人群包括泗水 11 家 COVID-19 转诊医院的所有中层管理人员。共收集到 189 份答复,但最终数据集中排除了 27 份不完整的答复。研究结果研究结果表明,决策结构在感知环境不确定性与通过平衡计分卡评估的医院绩效之间起着中介作用,突出了在不确定时期灵活决策过程的重要性。此外,根据我们的补充测试,受访者的人口统计特征会影响他们对医院绩效的感知。实践意义医院管理者可以考虑决策结构在应对 COVID-19 大流行等环境不确定性时的重要性。通过培养适应性强的决策过程和增强中层管理人员的能力,医院可以提高其在挑战性情况下的绩效和应变能力。此外,根据补充测试发现,对三种平衡计分卡视角的认知差异意味着,A、B、C 和 D 类医院应优先考虑特定领域,以提高其整体绩效。 原创性/价值这项研究通过探索决策结构、环境不确定性和医院绩效之间的相互作用,为现有知识体系增添了大量原创性和价值。它特别关注了 Covid-19 大流行病这一独特而前所未有的全球性危机,从而为相关文献做出了贡献。
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The impact of environmental uncertainty on performance during COVID-19 pandemic: the mediating role of decision making structure

Purpose

The primary aim of this research was to investigate the mediating effect of the decision-making structure on the relationship between perceived environmental uncertainty and hospital performance.

Design/methodology/approach

Online and manual survey questionnaires were used to collect data in this study. The target population of this study consists of all middle managers within 11 COVID-19 referral hospitals in Surabaya. A total of 189 responses were collected, however, 27 incomplete responses were excluded from the final dataset. Data was analyzed using SEM-PLS.

Findings

The study's findings indicate that decision-making structure plays a role in mediating the link between perceived environmental uncertainty and hospital performance assessed via the Balanced Scorecard, highlighting the significance of flexible decision-making processes during uncertain periods. Moreover, based on our supplementary test, respondents' demographic characteristics influence their perceptions of hospital performance.

Practical implications

Hospital administrators can consider the significance of decision-making structures in responding to environmental uncertainties like the COVID-19 pandemic. By fostering adaptable decision-making processes and empowering middle managers, hospitals may enhance their performance and resilience in challenging situations. Additionally, based on supplementary tests, it is found that differences in the perception of the three Balanced Scorecard perspectives imply that hospitals categorized as types A, B, C, and D should prioritize specific areas to improve their overall performance.

Originality/value

This research adds substantial originality and value to the existing body of knowledge by exploring the interplay between decision-making structures, environmental uncertainty, and hospital performance. It contributes to the literature by specifically focusing on the Covid-19 pandemic, a unique and unprecedented global crisis.

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来源期刊
CiteScore
7.90
自引率
9.70%
发文量
87
期刊介绍: ■Organisational design and methods ■Performance management ■Performance measurement tools and techniques ■Process analysis, engineering and re-engineering ■Quality and business excellence management Articles can address these topics theoretically or empirically through either a descriptive or critical approach. The co-Editors support articles that significantly bring new knowledge to the area both for academics and practitioners. The material for publication in IJPPM should be written in a manner which makes it accessible to its entire wide-ranging readership. Submissions of highly technical or mathematically-oriented papers are discouraged.
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