Performance management in practice at a large Dutch hospital: a case study. Analysing the planning and control cycle in action.

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Purpose: This research is concerned with gaining a deeper understanding of how a performance management system is shaped, functions and gets enacted upon within a large Dutch public hospital. Methodology: This research makes use of a case study methodology by using notions of Actor-Network Theory, the performativity of accounting and managerial intentions. Findings: The prevalence of a systems ontology regarding the shape and use of the performance management system. Also, some aspects of the presence of a relational ontology were found. Research Limitations: This study is concerned with a specific performance management system in a network-bounded organization. Due to this fact, no conclusions can be made in terms of generalizability. Practical Implication: This research tries to understand and see a performance management system in a system ontological view wherein also some emphasis is placed on the relational aspects of the system in place. This can benefit practitioners by going beyond a mere instrumental approach when designing or implementing performance management systems. Research Originality: This research addresses the scientific gap in which the practice of performance management is so far mainly studied in private sector organizations, whereas this research focuses on this practice within a large Dutch public-sector hospital.
Faculteit der Managementwetenschappen