Healthcare management and the decision-making process perspective: could a normative framework from stakeholder theory help?

Healthcare appears to be a world of Evidence-Based Medicine and rational decisions. Seldom available, sufficient or relevant in view of human needs, scientific evidence do not address priorities when resources are more than ever globally insufficient to an increasingly voracious system. Literature shows than evidence are not sufficient while a wide range of "stakeholders" vie to influence the decision-making process. We will be discussing the part "stakeholders" play in the decision-making process. Using the Integrative Social Contract Theory, we will be discussing "hypernorms" and unsolved dilemmas that exist within the Healthcare providing system. Using Philips works, we propose a normative and derivative approach of stakeholders' expectations in strategic management. We suggest that a framework that takes stakeholders' expectations -rather than simply their identities- into account, is a prerequisite to managing resource allocation in transparency and making sure that the efficiency requirements are acceptable for those stakeholders individually and collectively.