Money is not an issue!”
Hospital CFOs’ narratives about handling a sudden shift in managerial focus
Bibliographic Data
| ID | 9961952 |
|---|---|
| Authors | Margit Malmmose (0000-0002-8507-0731, Aarhus University, corresponding author), Lars Dahl Pedersen (0000-0003-3851-9871, Mølholm Hospital, Denmark) |
| Year | 2024 |
| Volume | 90 |
| Issue | 2 |
| Pages | 419-436 |
| Publication date | 2024-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Review of Administrative Sciences (JOURNAL) |
| Journal identifiers | ISSN: 0020-8523 • E-ISSN: 1461-7226 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/00208523231169913 |
| OpenAlex | W4367321828 |
| Language | EN |
| References cited | 38 |
The sustained political and managerial focus on cost containment and efficiency in hospitals has been altered by COVID-19-related concerns about public health. Through a novel qualitative study in Denmark, we explore CFOs’ narratives of their experiences during a sudden shift in managerial logic. All of the CFOs describe engagement in key operational procedures and change management that was fostered by the constant search for stability that strongly depended on bottom-up decision-making and flexibility. During this process, the existing competing logics of managerialism and medical professionalism vanished. The CFOs describe new forms of dynamic and collaborative approaches. The possibility of adhering to the core logic of administrative accounting techniques combined with urgency and emotional encounters appears to enable this approach. Thus, we document a moment when well-known opposing logics were suspended by exogenous urgency. This finding suggests possibilities for moving beyond deep-rooted views on established public administration structures and logics
Business · Focus (optics · Linguistics · Narrative · Political science · Accounting · Healthcare Quality and Management · Management and Organizational Studies · Organizational Change and Leadership · Philosophy
Origin and theoretical basis of new public management
Hybrid professionalism and beyond
Seeking Qualitative Rigor in Inductive Research
Saturation in qualitative research
Accounting, Territorialization and Power
Intra-crisis learning and prospective policy transfer in the Covid-19 pandemic
It's About Time
Assessing Qualitative Studies in Public Administration Research
Relational Leadership, Storytelling, and Narratives
Focusing on quality care rather than ‘checking boxes’
The role(s) of accounting and performance measurement systems in contemporary public administration
Of Bureaucrats and Passionate Public Managers
Competing Traditions of Governance and Dilemmas of Administrative Accountability
Management Accounting for Public Administration
Hybrid Manager–professionals' Identity Work
Revisiting the New Public Management
Being a Public Manager in Times of Crisis
Elite Interviewing
A Public Management for All Seasons
Changing Institutional Logics and Executive Identities
Professions and Professionals
Strategies for conducting elite interviews
| Highly cited | No |
|---|