Public sector purchasing of health services: A comparison with private sector purchasing

Recent research has highlighted the existence of important differences between public and private sector procurement practices. Drawing on established transactional and relational conceptual frameworks, this paper examines whether the differing environments confronting public and private sector organisations affects procurement practices. By focusing solely on occupational health services as an example of a complex business service, the research allows the influence of environmental factors, notably policy drivers, to be considered across both public and private sector settings while service specific factors remain largely constant. Utilising a combination of questionnaires and in-depth interviews the research suggests that policy drivers had a major bearing on procurement practices adopted in the public sector, resulting in a very different pattern of engagement with service providers from that prevailing in the private sector. Specifically whereas private sector organisations utilised a range of approaches, which can broadly be classified as relational in nature, public sector organisations almost exclusively relied on transactional-based approaches. The nature of these services suggests that relational based procurement constitutes the optimal approach to the acquisition of such services. However, for public sector organisations the perceived restrictions imposed by public policy on procurement practices resulted in the adoption of an approach which can be viewed as resulting in sub-optimal outcomes.     

Human resource management in the public sector

This article charts the currents in public sector reform and examines how contemporary HRM articulates to the change agenda pursued in the public sector. It notes the differences between the traditional bureaucratic model and the new management approach of public sector operation and activity. It explores how the institutional, policy and organizational changes delivered a new paradigm of managing members of public service organizations.     

Constructive Pressures And Incentives To Reform: Globalization and its impact on public sector performance and governance in developing countries

Contrary to widespread pessimism regarding the effects of globalization on nation states and the quality of governance in developing countries, this contribution stresses that several of its features can be made instrumental, and be beneficial, in terms of public policy making and state capability. Four ‘constructive pressures’ stemming from globalization could be seized constructively by citizens and governments in the developing world: First, better informed and better connected citizens, and an emerging global civil society, demand improvements in service delivery, transparency, and participation. Second, subnational governments, often backed by local NGOs and businesses, and keen to attract foreign investment, increasingly exert pressure vis-à-vis central governments. Third, global investment strategies by private businesses increase the demand for appropriate institutional arrangements within developing countries as well as credible government policies. Although with mixed results, forth, International Organizations, in particular IFIs, have been addressing public sector modernization in developing countries, also sponsoring global public policy networks in critical areas. Moreover, policy coordination and cooperation among states increases significantly, constraining arbitrary action by governments. Globalization, thus, advances the discussion about, and the demand for, new institutional arrangements, clearly with new opportunities for improvements in state capability and governance.     

Health sector reform and human resource management: Britain in comparative perspective

This article examines the impact of health service restructuring for employment practices in Europe, using Britain as the basis of comparison. It first considers trends in West European health care reform and examines the extent to which reform measures have been accompanied by changes in employment practices. It focuses on reforms of pay determination arrangements and work organization, examining in particular the experience of nurses, who form the largest occupational group. Finally, some of the implications for a future research agenda are considered. It concludes that research on health sector employment practices is under-developed and outlines a research agenda that recognizes the importance of workplace restructuring within a comparative framework.     

Effects of simplicity and discipline on operational flexibility: An empirical reexamination of the rigid flexibility model

This study empirically tests the rigid flexibility model proposed by Collins and Schmenner [Collins, R.S., Schmenner, R.W., 1993. Achieving rigid flexibility: factory focus for the 1990s. European Management Journal 11 (4), 443–447]. It investigates relationships between flexibility performance and adoption of simplicity and discipline programs in manufacturing. The research replicates the study by Collins et al. [Collins, R.S., Cordon, C., Julien, D., 1998. An empirical test of the rigid flexibility model. Journal of Operations Management 16 (2–3), 133–146] with some modifications, including the use of a broader international database, the assessment of both technology and organizational programs, and the testing of the moderating role of dedicated line layout on the relationships between simplicity, discipline and flexibility. Analysis of data from 285 manufacturers of fabricated metal products, machinery, and equipment from 14 countries indicates that simplicity and discipline related positively to performance in product customization, volume flexibility, mix flexibility, and time to market, and that some of these relationships were more positive in high volume processes than in low volume processes. The results provide empirical validation to the rigid flexibility model in an international manufacturing context.     

The retraining and mobility motivations of key personnel: dependencies in the Finnish business environment

Key personnel's long-term commitment to an organization will soon become a fiction unless companies really begin to pay attention to improving it. To a great extent the cause of this development is the increasing uncertainty in the permanence of one's job, which leads those interested in career advancement to unexpected career changes. This paper studies the retraining and mobility motivations of 726 key personnel in Finnish companies, by endeavouring to discover possible correlations, on one hand, with the key person's background and set of values and, on the other, with various company-related factors. Most of those with both retraining and mobility motivations turned out to be dynamic young people either at the early or mid-stages of their career, although mobility motivation at least appeared to last throughout. Strong career commitment was linked with mobility motivation, whereas a commitment to personal and professional development was linked with retraining motivation. Thus, objective career development is promoted primarily by mobility, and subjective career development by retraining. Both motivations were linked with the company's poorly implemented career management programme. Consequently, companies should look upon this as an important covert personnel risk and endeavour to turn this into a personnel development opportunity through internal mobility or training, in order not to lose its key personnel with highest competence and development potential.     

PSC指标在VFM评价中的应用研究

英国是PFI/PPP模式的发起者和主要推广者。采用了PSC指标为基准的评价方法来获得最佳的VFM。本文研究表明:PSC指标的应用随着PPP项目在全球的开展并不具有广泛意义,分别受到来自实践和理论的质疑。这对建立我国的VFM评价体系有一定启示作用。     

Reforming the reform: changing roles for accounting and management in the Italian health care sector

This paper examines the ways in which accounting has intervened in the process of reforming the original ‘reform’ of the Italian health care system. By stepping into an ongoing process accounting has been asked not only to foster efficiency, effectiveness and value for money, but to correct as well the ‘degeneration’ of the original reform, which subjected health care delivery to ‘democratic’ scrutiny and political control. The call for a greater accountability in the use of public resources has been thus interpreted as both a mechanism of surveillance and control and a way to resist the ‘over-politicization’ of health sector management together with the abuses, scandals and fraudulent behaviour it induced. In seeking to interpret the specificity of the Italian experience, the paper suggests that the range of ‘the contexts in which accounting operates’ should be broadened in order to gain a deeper understanding of its roles in those institutions, such as health care systems, which play a crucial role in modern societies. In order to move in this direction systematic and empirically grounded cross-national comparisons are called for, since, although accounting and management are involved in virtually all attempts to redesign health care services, consequences are likely to be different when conditions of possibility differ at the outset.     

Lean production and supplier relations: a survey of practices in the Aragonese automotive industry

This paper analyzes the main results of a survey to 28 automotive suppliers in the Spanish region of Aragón. It has been found in a regression analysis that the rotation of tasks and teamworking are positively correlated with the training and the use of modular components. Nearly half of the companies cooperate with customers, suppliers, and technological centers to improve their production processes but only two companies cooperate with their customers in component development and design which indicates an underinvolvement of the surveyed companies with the automotive manufacturers. The companies are much more integrated with the automakers in the delivery process, since more than half of the companies have daily deliveries and directly to the assembly line of the automaker.     

Is the enterprise software sector still in transition? A research note

Advances in information technology have not only promoted competition since the 1980s, but they also advanced globalization in the 1990s. The information technology group has lost its momentum since 2000. One of its vital segments was the enterprise software software sector. The sector’s products—such as ERP, CRM—have spurred the speed and efficiency of scores of U.S. companies and service firms in the past fifty months. In 2000, the majority of enterprise software firms incurred losses. Were one to assume that these innovative firms have a real contribution to augment client firms’ efficiency, the question of how to analyze their performance in the absence of positive net income becomes a Gordian knot. To unravel, we have employed selected non-income based measures as proxy criteria. We classify twenty-two firms into three subsets: Pre-1990 and post-1990 firms, full-line and partial-line firms, and large-capitalized and small-capitalized firms, and perform a comparative analysis on the basis of the proxy measures. While pointing to significant differences in productivity and perceived risks among these subsets, our findings allow us to speculate that, one, cottage-industry status of the sector has ended, and, two, new beginnings, in the post-September era of anxiety, will crystallize in the form of a consolidated industry comprising a few firms that possess the intrinsic value of leveraging their innovative capabilities.     

Human resource practices and discrimination in South Africa: overcoming the apartheid legacy

While there is some level of isomorphism and convergence in HRM practices, country-specific differences remain, notwithstanding globalization and the influence of increasingly powerful multinationals. Much work has occurred on diversity management and cultural aspects of management in South Africa (SA). This analysis finds that local institutional context in labour relations and particularism in practices remain important, although the influence of convergent forces such as globalization, information technology and increased competition has become much more prominent in post-apartheid SA. Human resource practitioners in SA see the most important workplace challenges as performance improvement, employment equity, training and development and managing trade union expectations. This article critically evaluates the effects of recent legislative measures, particularly labour court and arbitration awards aimed at addressing the adverse impact of past unfair discrimination on pay practices and skills development. The latter are found to be interrelated, sensitive and difficult areas of discrimination in respect of legal proof.     

Innovative practices in public procurement partnerships: The case of the United States

Public procurement partnerships represent a new approach to conducting government acquisition. These partnerships are predicated on the notion that governments today simply lack the requisite knowledge, skills and financing to provide core public services and acquire sophisticated services, IT and knowledge development by themselves. Instead, governments need to enlist the collective energies of the governmental, business and non-profit (third) sectors. This research looks at the concept of public procurement partnerships in the United States and the major trends promoting their use. Two case examples of public procurement partnerships are presented; one from the perspective of a government partner, the other from the perspective of a private (third) sector partner.     

Justifying health IT investments: A process model of framing practices and reputational value

Despite important research contributions on the financial and operational dimensions of information technology (IT) value, justifying health IT (HIT) investments remains a difficult and enduring issue for IT managers. Recent work has expanded our understanding of HIT value, by focusing on the initial resource allocation stage, and through conceptualizations of value across multiple dimensions. Building on these developments, we adopt a performative perspective to examine the research question of how practitioners justify early stage HIT investments, with a focus on reputational value. We explored this question through a comparative field study of two hospital organizations in the English National Health Service (NHS). We found that practitioners' temporally orientated framing practices matter in justifying HIT investments, enacting different possibilities for reputational value. We develop a process model to explain these dynamics and highlight the mutability of reputational value, which can lead to different possibilities for restoring, enhancing, or maintaining reputation. We conclude by discussing the implications for justifying HIT investments.     

The effect of the public sector on private jobs: Evidence from the West Bank

This paper estimates the short run effect of creating more public jobs on private employment in the occupied West Bank. Unlike most cited research, the results provide evidence that favors crowd-in effect both at the aggregate employment level and across sectors. A main contribution of the paper is to empirically explore the underlying mechanisms that drive the results. They include positive public employment effect on local demand, lack of public wage premium, as well as no effect on private wages. It turns out that an increase in the local labor force participation is a driving factor for the latter channel. Interestingly, the increase in labor force participation exceeds that of public and private employment, leading to an increase in the number of job seekers.     

Part-time work in the public health service of Denmark,France and the UK

The aim of this paper is to consider the extent to which and the ways in which part-time work is used in the health services of Denmark, France and the UK. The reasons for and the implications of introducing part-time work in the three EU countries are also analysed and compared. Data were collected using questionnaires and interviews from hospitals in Denmark, France and the UK. Questionnaires were completed by heads of department and by part-time employees. Interviews (for the UK sample only) were held with the managers responsible for the introduction of flexible working practices. The findings show that part-time employment is the most common flexible working practice in the health services of all three countries but that the purpose of its introduction differs from one country to another. Part-time work seemed to have satisfied the desire of those who run the National Health Service (NHS) in the UK for cost reduction and for flexibility of working practices. In the French health service it was aimed at creating jobs, whereas in Denmark it was a response to increasing employee demand for flexible working. It was also found that, contrary to the Danish case with its established tradition of flexible working and equality in employment, the full-time working traditions and the male-dominated cultures of the health services in France and in the UK have often undermined the importance and benefits of part-time employment.     

Business communities in the European confectionery sector: A U.K.-Finland comparison

This paper is based on the early stages of an international collaborative project investigating the structural changes of the confectionery sectors in Finland and the U.K. over the past two decades. An institutional perspective is used to extend conventional understandings of industries via the development of the sector concept. The network and community constructs are shown to be important devices for understanding the institutional character of a sector. Accordingly, the paper reveals the similarities and differences between the two national examples. An explanation is offered of the way domestic networks persist in both countries while contrasting community profiles are apparent.     

Corporate greening and changing regulatory regimes: the UK water industry

This article looks at the relationship between economic regulation, environmental regulation, company strategy and the environment in the UK water and sewerage industry. The regulatory field in this industry, following privatization in 1989, is highly complex and interdependent. The paper presents three case studies of company interpretation of and response to changes in this regulatory field, focusing particularly on the third review by the economic regulator, in 1999, which involved a reduction of the prices companies were allowed to charge their customers. This had significant but complex repercussions for environmental strategy and management in the companies, with different impacts on mandatory and non‐mandatory activities. It also showed in relief the opportunities for building coalitions between companies and the environmental regulator, both in general terms and revolving around specific, local environmental issues and schemes. Companies' strategic direction was also found to have an impact on their response to the regulatory review. Copyright © 2007 John Wiley & Sons, Ltd and ERP Environment.     

Output and productivity growth in the education sector: comparisons for the US and UK

This paper considers the measurement of performance in public service provision in an international context by examining outcome-based measures for the education sector. It first sets out the measurement issues in general terms. The paper then applies these methods to comparing the UK experience with that in the US over the period 1979–2002. The results show higher labour productivity growth in the UK education sector than in the US over this time period, so that the UK eliminated the productivity gap with the US by the end of the Century.

Mixing the princes and the paupers: Pay and performance in the National Basketball Association

We investigate how team and individual performances of players in the National Basketball Association respond to variations in intra-team pay inequality. By breaking down team dispersion into conditional and expected components, we find that expected pay dispersion has a positive effect on team and individual performance. We find that team and individual performances are essentially orthogonal to conditional pay inequality, counter to the hypotheses of fairness and cohesion proposed in the literature both for sports and general occupations. A change in collective bargaining regime in 1996 had little impact on either team or player productivity.     

The civil rights act of 1991: Death Knell for traditional faculty staffing and pay practices in business schools?

The language in the Civil Rights Act of 1991 relating to “alternative selection practices equally effective in achieving legitimate employment goals” may require business schools to alter their traditional staffing and compensation practices. Because of market conditions, many business schools pay newer faculty members more than faculty members currently on staff. This practice may have an unlawful, discriminatory impact on older faculty. Several nondiscriminatory alternatives that may be equally effective in achieving business schools’ need to employ and compensate competent faculty are examined.