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Budgetary participation and performance: The mediating effects of medical managers’ job engagement and self-efficacy

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  • Macinati, Manuela S.
  • Bozzi, Stefano
  • Rizzo, Marco Giovanni

Abstract

Professional hybrids in healthcare have attracted a great deal of policy, managerial, and research interest. However, the current literature offers little guidance on (i) how hybrid roles can be supported by the hospital organization they work for as well as (ii) the cognitive and behavioral driving forces underpinning medical managers’ managerial work that determine how they inhabit their roles and consequently meet the standards of performance that contribute to organizational effectiveness. Building on engagement theory and social cognitive theory and using data collected from clinical managers working in a large Italian public hospital, the current study focuses on the mediating role of psychological variables associated with the managerial role of medical managers, namely managerial job engagement and managerial self-efficacy, in the budgetary participation-job performance link. The results suggest that the information gained by participating in budgeting impact medical managers’ thoughts and feelings about their managerial role and these, in turn, motivate different aspects of their performance. The findings are discussed in relation to theory and their managerial and policy implications.

Suggested Citation

  • Macinati, Manuela S. & Bozzi, Stefano & Rizzo, Marco Giovanni, 2016. "Budgetary participation and performance: The mediating effects of medical managers’ job engagement and self-efficacy," Health Policy, Elsevier, vol. 120(9), pages 1017-1028.
    • Handle: RePEc:eee:hepoli:v:120:y:2016:i:9:p:1017-1028
    DOI: 10.1016/j.healthpol.2016.08.005
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    1. Khalid Hasan Al Jasimee & Francisco Javier Blanco-Encomienda, 2023. "A SEM-NCA approach towards the impact of participative budgeting on budgetary slack and managerial performance: The mediating role of leadership style and leader-member exchange," Papers 2310.09993, arXiv.org.
    2. Domenico Raucci & Manuela Paolini, 2021. "Soddisfazione lavorativa e work engagement nelle budgeting practices delle aziende sanitarie pubbliche. Una verifica empirica," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2021(1), pages 13-32.
    3. Domenico Raucci & Manuela Paolini, 2022. "Informazioni budgetarie e prospettive di Behavioral Management Accounting nelle aziende sanitarie pubbliche italiane," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2022(2), pages 117-139.
    4. Manuela Macinati & Marco Giovanni Rizzo, 2018. "Il ruolo di moderazione dell?identit? professionale medica nella relazione tra partecipazione al processo di budget e performance dei medici responsabili di struttura," MECOSAN, FrancoAngeli Editore, vol. 2018(106), pages 11-36.
    5. Novak, Sonja & Djordjevic, Nebojša, 2019. "Information system for evaluation of healthcare expenditure and health monitoring," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 520(C), pages 72-80.
    6. Sara Korlén & Isis Amer‐Wåhlin & Peter Lindgren & Ulrica von Thiele Schwarz, 2019. "Exploring staff experience of economic efficiency requirements in health care: A mixed method study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1439-1455, October.
    7. Song Liu & Hao Zhou, 2020. "The Role of Sense of Power in Alleviating Emotional Exhaustion in Frontline Managers: A Dual Mediation Model," IJERPH, MDPI, vol. 17(7), pages 1-16, March.

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