A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Performance measurement for the strategic management of health-care estates
The purpose of this study is to explore the role of performance measurement in current practices for strategic management of health-care estates.
The research adopts a constructivist grounded theory approach, combining different methodologies of a pan-European qualitative questionnaire, interviews with international health-care providers and a case study of National Health Services (NHS) Scotland. Here, documentation analysis, observations and in-depth interviews involving NHS stakeholders were undertaken.
The analysis shows evidence that measuring estate performance has limited value for individual NHS boards regarding strategic decisions related to long-term planning and investment. This was due to design issues and the prioritisation of clinical delivery, which contribute to the neglect of the estate as a consideration in long-term strategic planning. This misalignment results in a tool which is valuable for accountability but which is less helpful to NHS boards in shaping future decisions around the estate.
Responding to a gap in understanding of the application of performance measurement in the context of health-care estates, this research provides three recommendations to promote a more effective and relevant performance measurement system. These actively recognise the importance of the estate within strategic decision-making as helping to inform the long-term planning and management of the estate within the individual NHS boards.
This paper shows the current role of performance measurement for the strategic management of health-care estates and identifies issues related to its applicability and value.
Performance measurement for the strategic management of health-care estates
The purpose of this study is to explore the role of performance measurement in current practices for strategic management of health-care estates.
The research adopts a constructivist grounded theory approach, combining different methodologies of a pan-European qualitative questionnaire, interviews with international health-care providers and a case study of National Health Services (NHS) Scotland. Here, documentation analysis, observations and in-depth interviews involving NHS stakeholders were undertaken.
The analysis shows evidence that measuring estate performance has limited value for individual NHS boards regarding strategic decisions related to long-term planning and investment. This was due to design issues and the prioritisation of clinical delivery, which contribute to the neglect of the estate as a consideration in long-term strategic planning. This misalignment results in a tool which is valuable for accountability but which is less helpful to NHS boards in shaping future decisions around the estate.
Responding to a gap in understanding of the application of performance measurement in the context of health-care estates, this research provides three recommendations to promote a more effective and relevant performance measurement system. These actively recognise the importance of the estate within strategic decision-making as helping to inform the long-term planning and management of the estate within the individual NHS boards.
This paper shows the current role of performance measurement for the strategic management of health-care estates and identifies issues related to its applicability and value.
Performance measurement for the strategic management of health-care estates
Rodríguez-Labajos, Laura (author) / Thomson, Craig (author) / O’Brien, Geraldine (author)
Journal of Facilities Management ; 16 ; 217-232
2018-05-08
16 pages
Article (Journal)
Electronic Resource
English
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