Efficiency Versus Effectiveness in Hospitals: A Dynamic Simulation Approach

Item Type Book Section
Abstract Hospitals provide highly sophisticated services, but they are largely steered by means of simplistic management models, which do not match the complexities faced by these organizations. The design of management models in hospitals and public organizations at large shows a bend toward reductionism. The reductionism of these models is rooted in their short-termism, and in the myopia of their designers. The purpose of our contribution is to draft a path by which steering approaches can be developed, which are more effective in coping with organizational complexity than the short-termist, reductionist management models often in use. Using a generic model, we demonstrate that conventional approaches to steering entail unintended side effects leading to counterproductive system behaviors and to results inferior to those coming from no steering at all. We suggest how more sophisticated steering models can be designed to induce desirable modes of system behavior.
Authors Schwaninger, Markus & Klocker, Johann
Editors Borgonovi, Elio; Anessi-Pessina, Eugenio & Bianchi, Carmine
Language English
Subjects business studies
social sciences
Date 2018
Publisher Springer International
Place of Publication Cham, Switzerland
Page Range 397-424
Title of Book Outcome-Based Performance Management in the Public Sector
ISBN 978-3-319-57017-4
Depositing User Prof. em. Markus Schwaninger
Date Deposited 02 Feb 2018 10:47
Last Modified 20 Jul 2022 17:34
URI: https://www.alexandria.unisg.ch/publications/253497

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Schwaninger, Markus & Klocker, Johann: Efficiency Versus Effectiveness in Hospitals: A Dynamic Simulation Approach. In Borgonovi, Elio; Anessi-Pessina, Eugenio & Bianchi, Carmine (ed.): Outcome-Based Performance Management in the Public Sector. Cham, Switzerland : Springer International, 2018, S. 397-424.

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https://www.alexandria.unisg.ch/id/eprint/253497
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