当前位置: X-MOL 学术Public Policy and Administration › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The impact of publicness on the performance of professional services: Do private sector organizations perform better?
Public Policy and Administration ( IF 2.9 ) Pub Date : 2020-12-25 , DOI: 10.1177/0952076720977616
Salvador Parrado 1 , Anne-Marie Reynaers , José Rama 2
Affiliation  

This research assesses the impact of the degree of publicness on hospital performance in a specific ’mixed market’ of public health. This market is characterized by patient choice, capitation financing for private hospitals, and funding through ‘soft’ budgets (public authorities partially cover deficits or appropriate profits) for public hospitals. Previous studies on ownership (economic theory), market logic (on choice), and welfare orientation (role of professionals) offer inconclusive results as to the differences of performance among hospitals with different degree of publicness. We contrast statistics related to several dimensions of efficiency and survey data on different aspects of patient satisfaction. Logistic regression models demonstrate that a higher degree of publicness is correlated with a lower degree of perceived quality. However, hospitals with a varying degree of publicness are similarly efficient. These results indicate that divergences of performance differ amongst performance dimensions and the theoretical expectations need to consider differently these dimensions. Comparisons of the performance of hospitals with a varying degree of publicness should consider the broader institutional (i.e. market mix) configuration and the specific constraints of political authority for all hospitals, and not just single organizations. Finally, professionalism may play a role in explaining variations or similarities of performance by levelling out the differences in the degree of publicness.



中文翻译:

宣传对专业服务绩效的影响:私营部门组织的绩效是否更好?

这项研究评估了公共程度在特定的“混合市场”公共卫生中对医院绩效的影响程度。这个市场的特点是患者选择,私立医院的人头筹资以及公立医院通过“软”预算(公共当局部分弥补赤字或适当利润)提供的资金。先前关于所有权(经济理论),市场逻辑(选择)和福利定位(专业人员的角色)的研究对于不同程度的公共医院之间的绩效差异提供了不确定的结果。我们对比了与效率的几个方面相关的统计数据,并就患者满意度的不同方面调查了数据。Logistic回归模型表明,较高的宣传程度与较低的感知质量相关。然而,宣传程度不同的医院也同样有效。这些结果表明,性能差异在性能维度之间是不同的,理论上的期望需要对这些维度进行不同的考虑。在不同程度的公共医院之间进行绩效比较时,应考虑更广泛的机构(即市场结构)配置以及所有医院(而不仅仅是单个组织)的政治权威的特定限制。最后,专业水平可能会通过消除公开程度的差异来解释绩效的差异或相似之处。这些结果表明,性能差异在性能维度之间是不同的,理论上的期望需要对这些维度进行不同的考虑。在不同程度的公共医院之间进行绩效比较时,应该考虑更广泛的机构(即市场结构)配置以及所有医院,而不仅仅是单个组织的政治权力的特定限制。最后,专业化可以通过消除公开程度的差异来解释绩效的差异或相似性。这些结果表明,性能差异在性能维度之间是不同的,理论上的期望需要对这些维度进行不同的考虑。在不同程度的公共医院之间进行绩效比较时,应该考虑更广泛的机构(即市场结构)配置以及所有医院,而不仅仅是单个组织的政治权力的特定限制。最后,专业化可以通过消除公开程度的差异来解释绩效的差异或相似性。市场组合)的配置以及所有医院,而不仅仅是单个组织的政治权限的特定限制。最后,专业化可以通过消除公开程度的差异来解释绩效的差异或相似性。市场组合)的配置以及所有医院,而不仅仅是单个组织的政治权限的特定限制。最后,专业化可以通过消除公开程度的差异来解释绩效的差异或相似性。

更新日期:2021-01-08
down
wechat
bug