Public Value Theory in Public Healthcare Service System: A Proposed Framework in the University Hospital of China

Authors

  • Luo Jiaxiang General Hospital of Ningxia Medical University, Ningxia, China, Faculty of Administrative Science and Policy Studies, Universiti Teknologi MARA, Shah Alam, Malaysia
  • Fadilah Binti Puteh Faculty of Administrative Science and Policy Studies, Universiti Teknologi MARA, Shah Alam, Malaysia
  • Sarina Binti Othman Faculty of Administrative Science and Policy Studies, Universiti Teknologi MARA, Shah Alam, Malaysia

Keywords:

Healthcare System, University Hospital, Strategy Management, Public Value

Abstract

Health is an inevitable requirement for the promotion of human well-rounded development, and it’s the basic condition for social and economic advancement. Global health concerns must be considered to provide effective, safe, high-quality care. Chinese university hospitals are constantly undergoing transformation, exploration, and rivalry in the era of contemporary healthcare reform. Hospitals are dealing with several issues and difficulties as healthcare reform is fully implemented. Performance needs to meet the serious test, health insurance cost is controlled strictly, drug consumption is free of additional cost, and COVID-19 is severely changing the world. To construct an analytical framework for university hospitals in China, this paper uses strategy management and public value theory in management as its primary theoretical tools. It also draws on the mission management, political management, and operational management dimensions of the "triangle model" of government strategic management. Through proposing the strategic triangle framework into governance of university hospitals in China, it provides the referrals for strategic and sustainable development of university hospitals. To ensure that university hospitals do not deviate from their sustainable development goals, it is determined and advised to university hospital managers how to use the triangle of public value to formulate and maintain effective hospital strategies

References

Alford, J. & O'Flynn, J.L. (2009), "Making sense of public value: concepts, critiques and emergent meanings", International Journal of Public Administration, Vol. 32 Nos 3–4, pp. 171-191.

Alford, J. & Greve, C. (2017), “Strategy in the public and private sectors: similarities, differences and changes”, Administrative Sciences, Vol. 7 No. 4, pp. 1-17.

Algharabat, R.S. (2018), “The role of telepresence and user engagement in co-creation value and purchase intention: online retail context”, Journal of Internet Commerce, Vol. 17 No. 1, pp. 1-25.

Asgari, H. (2013), “The estimation of cost function in Ilam hospitals (2003-2012)”, Scientific Journal of Ilam University of Medical Sciences, Vol. 22 No. 4, pp. 190-198.

Bassano, C., Piciocchi, P.& Pietronudo, M.C. (2018), “Managing value co-creation in consumer service systems within smart retail settings”, Journal of Retailing and Consumer Services, Vol. 45, pp. 190-197.

Beck Jørgensen, T., & Rutgers, M. R. (2015). Public Values: Core or Confusion? Introduction to the Centrality and Puzzlement of Public Values Research. The American Review of Public Administration, 45, 3-12

Begkos, C., Llewellyn, S. & Walshe, K. (2020). How do medical managers strategize? A strategy as a practice perspective. Public Money and Management, Vol. 40 No.4, 265-27.

Belrhiti, Z., Giralt, A.N. and Marchal, B. (2018), “Complex leadership in healthcare: a scoping review”, International Journal of Health Policy and Management, Vol. 7 No. 12, p. 1073

Blumenthal, D. & Hsiao, W. (2015). Lessons from the East: China’s rapidly evolving health care system. New England Journal of Medicine, Vol. 372 No. 14, 1281-1285.

Bryson, J.M. & Edwards, L.H., (2017), ‘Strategic planning in the public sector’, in R. Aldag (ed.), Oxford research encyclopedia of business and management, Oxford University Press, Oxford.

Bryson, J.M. & George, B. (2020). “Strategic management in public administration’, Subject: policy, administration, and bureaucracy”, Oxford Research Encyclopedia of Politics, Oxford University Press.

Bovill, C. (2020), “Co-creation in learning and teaching: the case for a whole-class approach in higher education”, Higher Education, Vol. 79 No. 6, pp. 1023-1037

Bozeman, B. (2007). Public values and public interest: Counterbalancing economic individualism (Public management and change). Washington, DC: Georgetown University Press.

Carter, C., Clegg, C., & Kornberger, M. (2008). A very short, fairly interesting and reasonably cheap book about studying strategy. London: Sage.

Chen C, Dong WZ, Shen JJ, Cochran C, Wang Y, Hao M. (2014). Is the prescribing behaviour of Chinese physicians driven by financial incentives? Soc. Sci. Med. 120:40–48

Deloitte. (2016). Global health care outlook – battling costs while improving care. Deloitte Center for Health Solutions.

Docteur E, Oxley H. (2003). Health-Care Systems: Lessons from the Reform Experience. Health Working Papers 9, OECD, Paris.

Elias, A. (2021), "Kerala's innovations and flexibility for COVID-19 recovery: storytelling using systems thinking", Global Journal of Flexible Systems Management, Vol. 22 No. 1, pp. 33-43

Fang, P.Q. & Li, X.Y. (2021). Development strategies and key directions of China's hospitals during the 14th Five-Year Plan. China Hospital Management, 41(03): 6-10.

Glouberman, S., & Mintzberg, H. (2001). Managing the care of health and the cure of disease—Part I: Differentiation. Health Care Management Review, 26(1), 56–69.

Hambrick, D. (1980), “Operationalizing the concept of business-level strategy in research”, The Academy of Management Review, Vol. 5 No. 4, pp. 567-575.

Hamidi, F., Shams Gharneh, N. and Khajeheian, D. (2020), “A conceptual framework for value co-creation in service enterprises (case of tourism agencies)”, Sustainability, Vol. 12 No. 1, p. 213.

Haynes, A., Garvey, K., Davidson, S. and Milat, A. (2020), “What can policymakers get out of systems thinking? Policy partners’ experiences of a systems-focused research collaboration in preventive health”, International Journal of Health Policy and Management, Vol. 9 No. 2, pp. 65-76

Head, B. & Alford, J. (2016). Wicked Problems: Implications for Public Policy and Management, Administration and Society, 47(6), 711-739.

Hosseini, M., Shajari, S. and Akbarabadi, M. (2020), “Identifying multi-channel value co-creator groups in the banking industry”, Journal of Retailing and Consumer Services, Vol. 102312, pp. 1-10.

Hou G Y, & Hu N N. (2022). Analysis of the influence and path improvement of the supply level of Chinese health and medical resources. Chinese Hospital, 26(12), 4.

Johnson, A.G. and Neuhofer, B. (2017), “Airbnb–an exploration of value co-creation experiences in Jamaica”, International Journal of Contemporary Hospitality Management, Vol. 4 No. 1, pp. 51-67

Johnson, D., Cahill, M. Choate, S. Roelfs, D., & Walsh, S. E. (2022). The Influence of public health faculty on college and university plans during the covid-19 pandemic. Frontiers in Public Health, 9, 2281-.

Kirova, V. (2021), “Value co-creation and value co-destruction through interactive technology in tourism: the case of ‘La Cite du Vin’wine museum, Bordeaux, France”, Current Issues in Tourism, Vol. 24 No. 5, pp. 637-650.

Larisch, L.-M., Amer-Wahlin, I. and Hidefjall, P. (2016), “Understanding healthcare innovation systems: the Stockholm region case”, Journal of Health Organization and Management, Vol. 30 No. 8, pp. 1221-1241.

Li L. (2010). Medical and health reform is expected to be the pioneer of the "China Model" going to the world. 21st Century Forum. National Committee of the Chinese People's Political Consultative Conference.

Li Yi, Yuan Bochun, Wang Hongbo, & Zhang Yu. (2022). Strategic background and path selection of high quality development of public hospitals. Chinese Journal of Hospital Management, Volume 37, Issue z2 2021, front insert 1, pp. 1-4, from PKU CSCD.

Malar, D.A., Arvidsson, V. and Holmstrom, J. (2019), “Digital transformation in banking: exploring value co-creation in online banking services in India”, Journal of Global Information Technology Management, Vol. 22 No. 1, pp. 7-24

Mark H. Moore. (1995). Creating Public Value Strategic Management in Government.

Marmot, M. (2005). Social determinants of health inequalities. Lancet. 365:1099–104.

Meng Xiangsheng. (2012). Reform of foreign medical and health system and its enlightenment to us. Journal of Tianjin Management College (03), 5-7.

Millar, R., Jian, W., Mannion, R., & Miller, R. (2016). Healthcare reform in China: Making sense of a policy experiment? Journal of Health, Organization and Management, 30(3), 324–330.

Moore, M. H. (2000). Managing for value: Organizational strategy in for-profit, nonprofit, and governmental organizations. Nonprofit and Voluntary Sector Quarterly, 29, 183-204.

Morrell, K. (2009). Governance and the Public Good. Public Administration, 87, 3, 538–56.

Nabatchi, T. (2018). Public values frames in administration and governance. Perspectives on Public Management and Governance, 1, 59-72.

Nofri, E.M. (2015). "The Chinese healthcare system: how it works and future trends", available at www.albertoforchielli.com/2015/11/13/the-Chinese-healthcare-system-how-it-works-and-future-trends.

OECD (2021), "Health expenditure about GDP", in Health at a Glance 2021: OECD Indicators, OECD Publishing, Paris.

Parnell, J. (2017), “Fundamentals of strategic management”, in Parnell, J.A. (Ed.), Strategic Management: Theory and Practice, 4th ed., Sage Publications, pp. Xx-25, Doi: 10.4135/ 9781506374598.n1.

Patton, M.Q. (2010). Developmental Evaluation. New York: Guildford Press.

Payne, E.H.M., Peltier, J. and Barger, V.A. (2021), “Enhancing the value co-creation process: artificial intelligence and mobile banking service platforms”, Journal of Research in Interactive Marketing, Vol. 15 No. 1, pp. 68-85.

Poister, T.H. (2020). The future of strategic planning in the public sector: linking strategic management and performance. Public Administration Review, Vol. 70 No. 1, 246-254.

Prebble, M. (2018). The nature of public value. The American Review of Public Administration, 48, 103-118.

Rezapour, A.& Khalej, M. (2006), "The economic behaviour of general hospitals of Iran University of Medical Sciences from 1997 to 2004", Shahrekord University of Medical Sciences, Vol. 8 No. 3, pp. 11-16.

Rutgers, M. R. (2015). As good as it gets. On the meaning of public value in the study of policy and management. The American Review of Public Administration, 45, 29-45.

Van Dooren, W., Bouckaert, G. & Halligan, J., (2015). Performance management in the public sector, 2nd edn., Routledge, New York, NY.

Wang Shuping, Huang Erdan, Sun Wen, & Hu Ye-Kang. (2021). Discussion on the methodology of the Overall Strategic Planning for High-quality Development of Hospitals during the 14th Five-Year Plan Period. Journal of Health Economics, 038(001), 14-16,21.

WHO (2007a), Managing the health millennium development goals: the challenge of management strengthening: lessons from three countries, Retrieved from.

WHO (2015), "Global reference list of 100 core health indicators", World Health Organization, available at www. who. Int.

Yip, W. & Hsiao, W.C. (2008). The Chinese health system is at a crossroads. Health Affairs, Vol. 27 No. 2, 460-468.

Yip, W., Hsiao, W., Chen, W., Hu, S., Ma, J. & Maynard, A. (2012). Early appraisal of China's huge and complex healthcare reforms. Lancet, Vol. 379 No. 9818, 833-842.

Yip, W. & Hsiao, W.C. (2014). Harnessing the privatization of China's fragmented healthcare delivery. Lancet, Vol. 384 No. 9945, 805-818.

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Published

2024-08-05

How to Cite

Luo Jiaxiang, Fadilah Binti Puteh, & Sarina Binti Othman. (2024). Public Value Theory in Public Healthcare Service System: A Proposed Framework in the University Hospital of China . Journal of Administrative Science, 20(2), 232–255. Retrieved from https://journal.uitm.edu.my/ojs/index.php/JAS/article/view/2541