Journal ArticleDOI
What's measured is what matters: targets and gaming in the English public health care system
Gwyn Bevan,Christopher Hood +1 more
TLDR
In this article, the authors examine the robustness of the regime of targets and terror to these assumptions using evidence from the English public health service on reported successes, problems of measurement, and gaming.Abstract:
In the 2000s, governments in the UK, particularly in England, developed a system of governance of public services that combined targets with an element of terror This has obvious parallels with the Soviet regime, which was initially successful but then collapsed Assumptions underlying governance by targets represent synecdoche (taking a part to stand for a whole); and that problems of measurement and gaming do not matter We examine the robustness of the regime of targets and terror to these assumptions using evidence from the English public health service on reported successes, problems of measurement, and gaming Given this account, we consider the adequacy of current audit arrangements and ways of developing governance by targets in order to counter the problems we have identifiedread more
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Contemporary Strategy Analysis
TL;DR: In this paper, the authors present a framework for analyzing strategies in the context of a large-scale industrial setting, based on the concepts of value maximization and profit maximization.
Journal ArticleDOI
Constructing and contesting legitimacy and accountability in polycentric regulatory regimes
TL;DR: In this paper, the authors focus on the dynamics of accountability and legitimacy relationships and how those in regulatory regimes respond to accountability claims and how they themselves seek to build legitimacy in complex and dynamic situations.
Journal ArticleDOI
Explaining Michigan: Developing an Ex Post Theory of a Quality Improvement Program
Mary Dixon-Woods,Charles L. Bosk,Emma-Louise Aveling,Christine A. Goeschel,Peter J. Pronovost +4 more
TL;DR: Updating program theory in the light of experience from program implementation is essential to improving programs' generalizability and transferability, although it is not a substitute for concurrent evaluative fieldwork.
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'We do good things, don't we?': 'Blended Value Accounting' in social entrepreneurship
TL;DR: In this article, the authors present an exploratory analysis of the emergent reporting practices used by social entrepreneurs in terms of their institutional settings and strategic objectives, using three theoretical interpretations to conceptualize the function and effects of reporting, disclosure, and audit in social entrepreneurship.
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Targets for a circular economy
TL;DR: In this paper, a framework based on 10 common circular economy strategies (i.e. recover, recycling, repurpose, remanufacture, refurbish, repair, reuse, reduce, rethink, refuse) is applied to scrutinise the selected targets.
References
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Multitask Principal–Agent Analyses: Incentive Contracts, Asset Ownership, and Job Design
Bengt Holmstrom,Paul Milgrom +1 more
TL;DR: In this article, a principal-agent model that can explain why employment is sometimes superior to independent contracting even when there are no productive advantages to specific physical or human capital and no financial market imperfections to limit the agent's borrowings is presented.
Journal Article
The audit society : rituals of verification
TL;DR: The Audit Society: General Themes 2: The Rise of Audit 3: The Audit Explosion 4: Audit and the Dialectic of Regulatory Failure 5: Audit Knowledge and the Construction of Auditees 6: Beyond Audit, Towards Trust Notes Bibliography
Journal ArticleDOI
Measuring the quality of medical care. A clinical method.
TL;DR: In this paper, the authors outline the implementation of a new method of measuring the quality of medical care that counts cases of unnecessary disease and disability and unnecessary untimely deaths, and describe how these inth of the general population and the effects of economic, political, and other environmental factors upon it, and evaluate the quality medical care provided both within and without the hospital to maintain health and to prevent and treat disease.
Book
Rethinking Democratic Accountability
TL;DR: In this article, the authors examine ambiguities, contradictions, and inadequacies in our current systems of accountability for finances, fairness, and performance, and suggest a new model of accountability with "compacts of collective, mutual responsibility" to address new paradigms for public management.