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Configurations of New Public Management reforms and the efficiency, effectiveness and equity of public healthcare systems: a fuzzy-set Qualitative Comparative Analysis

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  • Rhys Andrews
  • Malcolm J. Beynon
  • Aoife McDermott

Abstract

Fuzzy-set Qualitative Comparative Analysis identifies configurations of New Public Management (NPM) reforms (privatization, consumerism, performance management, and corporatization) associated with perceptions of improvements in healthcare efficiency, effectiveness and equity in 14 European countries. Although these outcomes are pursued concurrently, no combination of the considered reforms appears to support success or failure across the board and the inter-relations between reforms shape their effects. Three NPM reform profiles are evident in Europe; (1) strong reformers, adopting a comprehensive package of reforms that are perceived to perform better than (2) partial reformers, with (3) limited reformers also doing better than partial reformers.

Suggested Citation

  • Rhys Andrews & Malcolm J. Beynon & Aoife McDermott, 2019. "Configurations of New Public Management reforms and the efficiency, effectiveness and equity of public healthcare systems: a fuzzy-set Qualitative Comparative Analysis," Public Management Review, Taylor & Francis Journals, vol. 21(8), pages 1236-1260, August.
    • Handle: RePEc:taf:rpxmxx:v:21:y:2019:i:8:p:1236-1260
    DOI: 10.1080/14719037.2018.1561927
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    Cited by:

    1. 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.
    2. Simone Fanelli & Chiara Carolina Donelli & Fiorella Pia Salvatore & Antonello Zangrandi, 2022. "Migliorare la performance nelle aziende sanitarie pubbliche: il contributo dei professionisti-manager," MECOSAN, FrancoAngeli Editore, vol. 2022(122), pages 123-135.
    3. Paul, Jomon A. & Wang, Xinfang & Bagchi, Aniruddha, 2024. "Lives or livelihoods: A configurational perspective of COVID-19 policies," Socio-Economic Planning Sciences, Elsevier, vol. 93(C).
    4. Niccol? Persiani & Martina Giusti & Maria Jose Caldes & Afef Hagi, 2022. "Il contributo del management alla definizione della strategia di decentramento del Servizio Sanitario: il caso del Servizio Sanitario Tunisino," MECOSAN, FrancoAngeli Editore, vol. 2022(122), pages 85-103.
    5. Fangxin Yi & Jun Jie Woo & Qiang Zhang, 2022. "Community Resilience and COVID-19: A Fuzzy-Set Qualitative Comparative Analysis of Resilience Attributes in 16 Countries," IJERPH, MDPI, vol. 20(1), pages 1-18, December.

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