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The Missing Link in Budget Models of Nonprofit Institutions: Two Practical Dutch Applications

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  • Piet Verheyen

    (Tilburg University, Tilburg, The Netherlands)

Abstract

The Dutch government, health insurance associations, and research boards allocate budgets to nonprofit institutions (hospitals, universities), based on general indicators (inhabitants, admissions, or students). With these budgets, the top management of each institution (the principal) allocates the funds, using general indicators to distribute the money further down to the base. At the base of the nonprofit institutions, the professionals (the agents) perform a spectrum of specific tasks. Tension around the budgetting process exists between top management and professionals. This paper resolves the tension along the research lines of Burton and Obel (1995) by measuring in money terms the specific tasks of the professionals of universities and hospitals at the base, and by reconsidering the theoretical background of the internal budget system. The study also develops the missing link in an integral external and internal budget system by integrating the managerial and professional decisions or the input-output decisions in one approach.

Suggested Citation

  • Piet Verheyen, 1998. "The Missing Link in Budget Models of Nonprofit Institutions: Two Practical Dutch Applications," Management Science, INFORMS, vol. 44(6), pages 787-800, June.
    • Handle: RePEc:inm:ormnsc:v:44:y:1998:i:6:p:787-800
    DOI: 10.1287/mnsc.44.6.787
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    1. Michael Shwartz & Melanie L. Lenard, 1994. "Improving Economic Incentives in Hospital Prospective Payment Systems Through Equilibrium Pricing," Management Science, INFORMS, vol. 40(6), pages 774-787, June.
    2. Nathalie Bosmans & Fabienne Fecher, 1995. "Performance of Belgian hospitals: A frontier approach," Health Economics, John Wiley & Sons, Ltd., vol. 4(5), pages 389-397, September.
    3. Harold Pollack & Richard Zeckhauser, 1996. "Budgets as Dynamic Gatekeepers," Management Science, INFORMS, vol. 42(5), pages 642-658, May.
    4. Caillaud, B. & Jullien, B. & Picard, P., 1996. "Hierarchical organization and incentives," European Economic Review, Elsevier, vol. 40(3-5), pages 687-695, April.
    5. David E. M. Sappington, 1991. "Incentives in Principal-Agent Relationships," Journal of Economic Perspectives, American Economic Association, vol. 5(2), pages 45-66, Spring.
    6. James F. Burgess, Jr. & Paul W. Wilson, 1996. "Hospital Ownership and Technical Inefficiency," Management Science, INFORMS, vol. 42(1), pages 110-123, January.
    7. Maarse, Hans & Rooijakkers, Dianca & Duzijn, Ronald, 1993. "Institutional responses to Medicare's prospective payment system," Health Policy, Elsevier, vol. 25(3), pages 255-270, October.
    8. Bengt Holmstrom, 1982. "Moral Hazard in Teams," Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 324-340, Autumn.
    9. van de Ven, Wynand P. M. M., 1995. "Regulated competition in health care: With or without a global budget?," European Economic Review, Elsevier, vol. 39(3-4), pages 786-794, April.
    10. Robert B. Fetter, 1991. "Diagnosis Related Groups: Understanding Hospital Performance," Interfaces, INFORMS, vol. 21(1), pages 6-26, February.
    11. Arundhati Kumar & Peng Si Ow & Michael J. Prietula, 1993. "Organizational Simulation and Information Systems Design: An Operations Level Example," Management Science, INFORMS, vol. 39(2), pages 218-240, February.
    12. Jornsten, Kurt & Leisten, Rainer, 1994. "Aggregation and decomposition for multi-divisional linear programs," European Journal of Operational Research, Elsevier, vol. 72(1), pages 175-191, January.
    13. L. Peter Jennergren, 1980. "On the Design of Incentives in Business Firms---A Survey of Some Research," Management Science, INFORMS, vol. 26(2), pages 180-201, February.
    14. Smith, Peter C. & Stepan, Adolf & Valdmanis, Vivian & Verheyen, Piet, 1997. "Principal-agent problems in health care systems: an international perspective," Health Policy, Elsevier, vol. 41(1), pages 37-60, July.
    15. Evans, R.G. & Lomas, J. & Barer, M.A. & Labelle, R.J. & Fooks, C. & Stoddart, G.L. & Anderson, G.M. & Feeny, D. & Gafni, A. & Torrance, G.W. & Tholl, W.G., 1989. "Controlling Health Expenditures- The Canadian Reality," Centre for Health Services and Policy Research 89:11r, University of British Columbia - Centre for Health Services and Policy Research..
    16. Nahum D. Melumad & Dilip Mookherjee & Stefan Reichelstein, 1995. "Hierarchical Decentralization of Incentive Contracts," RAND Journal of Economics, The RAND Corporation, vol. 26(4), pages 654-672, Winter.
    17. Verheyen, Piet A. & Nederstigt, Pieter F. P. M., 1992. "A cost-allocation system applied to Dutch hospitals," European Journal of Operational Research, Elsevier, vol. 58(3), pages 393-403, May.
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