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Unleashing the potential of participative budgeting practices in Public Healthcare Organizations

The drivers of psychology-based budgeting research

Bibliographic Data

ID19477692
AuthorsDomenico Raucci (0000-0003-4303-2881, University of Chieti-Pescara, corresponding author), Manuela Paolini (University of L'Aquila), Nicoletta Cera (0000-0002-2702-8789, Universidade do Porto), Fausto Di Vincenzo (0000-0002-6111-6192, University of Chieti-Pescara)
Year2026
Pages1-33
Publication date2026-06-08
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePublic Management Review (JOURNAL)
Journal identifiersISSN: 1471-9037 • E-ISSN: 1471-9045
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14719037.2026.2685252
OpenAlexW7163916640
LanguageEN
References cited88

Since doctors heading operational units have become budget holders, the hybrid nature of doctor-managers exposes them to risks of role ambiguity. Drawing on psychology-based budgeting research, this study explores how participative budgeting (PB) can enhance managerial responses to budgetary responsibilities. Using data from 131 doctor-managers in Italian public healthcare organizations, we found that providing satisfactory budgetary information influences doctor-managers’ perceptions of organizational support (POS). The ‘reciprocating’ response driven by POS strengthens doctor-managers’ motivation to achieve budgetary goals and involvement in PB, acting as an enabling condition for role hybridization. This results in improvements in psychological well-being and organizational identification

Health care · Participatory budgeting · Perception · Public healthcare · Public support · Accounting and Organizational Management · Operations Management Techniques · Public Policy and Administration Research

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