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This article examines how the Post-New Public Management administrative model adopted by a teaching hospital in Portugal shapes innovation processes. We find that innovation is a multi-level organizational phenomenon that relies substantially on the interplay of three factors: (1) trust-based professional autonomy at the individual level; (2) an in...
Citations
... Studies of NPM in practice have found that, while it should improve government efficiency, it has not delivered better value (Lapsley, 2009) or increased economic efficiency, nor produced results through innovation fostered by competition (Melo et al., 2022(Melo et al., , p. 1032. NPM has fragmented public services, which has caused problems with service delivery coordination (Howard, 2015 p. 237). ...
... Previous studies assessing the implementation of NPM in the public sector have shown various results. For example, [4] found that the Post-NPM administrative model, which focuses on collaboration and public value, can improve innovation in teaching hospitals in Portugal. However, the application of NPM is not always effective in improving technical efficiency, as found by [5] in hospitals in Madrid. ...
... While NPM can improve efficiency and accountability, its implementation often faces challenges in integrating sustainability values. Research shows that although NPM can enhance operational performance, it often fails to accommodate environmental sustainability, as observed in various studies [4,5]. This highlights the need to adapt and adjust NPM principles to the local context to address the specific challenges faced by Perumdam. ...
... Leadership and Strategic Vision: Strong leadership and a clear strategic vision are crucial for improving sustainability performance. Management commitment to aligning individual goals with organizational objectives fosters efficiency and innovation [21,43] Strategic leadership, with the ability to integrate adaptive governance principles, also enhances efficiency and innovation in the local context [4]. A clear organizational vision and mission ensure effective management and alignment with company goals [10,41]. ...
This study aims to explore the impact of applying New Public Management (NPM) principles on sustainability performance at Perumdam Batiwakkal, Berau Regency, focusing on operational efficiency, service quality, and environmental management. The theoretical framework integrates key NPM concepts privatization, decentralization, and performance measurement based on results with environmental sustainability models to offer a comprehensive understanding of managerial and operational impacts. Utilizing a Grounded Theory approach, data were collected through in-depth interviews with senior management, operational staff, and service users. Data analysis involved open coding, axial coding, and selective coding to develop a conceptual framework on NPM application and sustainability performance. Findings indicate that while NPM principles can enhance operational efficiency and service quality, challenges persist in achieving full sustainability performance. Key factors influencing effectiveness include leadership support, resource availability, and policy adaptation. The study provides insights into adapting NPM principles to improve sustainability performance and offers practical solutions for implementation challenges.
... Public hospitals are essential for delivering healthcare services to the population, and their financial viability is critical to ensuring uninterrupted service delivery (World Health Organization, 2020). The unique challenges of public hospital projects necessitate tailored financial structures and risk mitigation strategies that account for the sector's specificities (Melo et al., 2022). ...
The success of a Public-Private Partnership (PPP) project relies on the appropriate risk allocation from the government to the private sector. The government employs mechanisms such as Minimum Revenue Guarantees(MRGs) within PPP project schemes. Research on MRGs, however, remains very limited in the Indonesian context. Therefore, this conceptual study proposes the adoption of minimum revenue guarantees into fixed payment mechanisms in PPP projects within the hospital sector and explores how to integrate several principles of minimum revenue guarantees into a fixed payment structure. This conceptual study employs a literature review approach, examining various studies and existing implementations, and synthesizing them for adoption in the Indonesian context. The conceptual study finds that the principles of minimum revenue guarantees can be adapted to fixed payment schemes in PPP projects for the hospital sector, and private entities can optimize their revenue from certain services.
... Konsekuensi dari perubahan paradigma ini adalah reformasi birokrasi dan pelayanan sektor publik dengan menjadikan kepuasan dan kepercayaan masyarakat sebagai tujuan utama pemerintah. Salah satu hasilnya adalah munculnya isu inovasi pelayanan publik (Melo, S., De Waele, L., & Polzer, 2020:1040 ...
Salah satu inovasi pelayanan publik di Kota Tarakan yaitu SIMPELKAN pada Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu (DPMPTSP). Analisis dilakukan terhadap dampak SIMPELKAN terhadap efisiensi, transparansi, dan aksesibilitas layanan bagi masyarakat serta perubahan dalam penilaian kepatuhan terhadap standar pelayanan publik. Penelitian ini bertujuan untuk mengevaluasi implementasi inovasi pelayanan publik melalui SIMPELKAN di DPMPTSP Kota Tarakan. Metode penelitian yang digunakan adalah pendekatan kualitatif dengan jenis penelitian deskriptif melalui wawancara dengan petugas front office serta analisis data terkait kinerja layanan SIMPELKAN. Hasil penelitian menunjukkan konteks Kota Tarakan yang mengarah menjadi Smart City, Smart Governance menjadi tujuan penting yang mengharuskan DPMPTSP, untuk menyediakan layanan publik yang efektif dan efisien, khususnya dalam proses perizinan. SIMPELKAN adalah inovasi teknologi yang memenuhi tuntutan akan pelayanan yang cepat, aman, dan nyaman bagi masyarakat. Namun, implementasi SIMPELKAN menghadapi beberapa hambatan seperti ketergantungan pada koneksi internet yang stabil, kurangnya pemahaman masyarakat, dan kecenderungan untuk tetap menggunakan metode manual dalam mengurus perizinan. Peningkatan kualitas SDM, komitmen pimpinan, infrastruktur teknologi yang memadai, serta sosialisasi yang intens terhadap fitur dan manfaat SIMPELKAN menjadi krusial dalam mengatasi hambatan-hambatan tersebut. Dengan mengoptimalkan SIMPELKAN, diharapkan Kota Tarakan dapat meningkatkan efisiensi operasional, transparansi, dan akuntabilitas dalam pelayanan publik, serta meningkatkan kepuasan masyarakat secara keseluruhan.
... A growing body of literature suggests that public sector employees are motivated not only by generalized altruism, but public service motivation; that is, their contribution to the production of generalized public value, which in turn is underpinned by more specific professional norms and values (Bøgh Andersen and Serritzlew 2012). Tapping into the common public service motivation of diverse professionals, public sector reforms may advance collaboration across their differential professional norms and values based on managerial respect for the professional autonomy of employees and an organizational commitment to collaboration as a necessary means for effectively solving organizational tasks and producing public value (Carmeli and Gittell 2009;Gittell, Seidner, and Wimbush 2010;Lukersmith, Taylor, and Salvador-Carulla 2021;Melo, De Waele, and Polzer 2022;Temby et al. 2016). To advance collaboration in public sector organizations, public management reform should therefore promote management practices that increase public service motivation instead of pay-for-performance systems that crowd out motivation and lower organizational effectiveness (Ritz, Brewer, and Neumann 2016). ...
The concept of New Public Governance (NPG) has proven valuable as an umbrella term for cross-sector collaboration in public governance. Thus far, however, its conceptual development has mainly focused on the external relations of government. To develop NPG as a public management reform model, this article examines its internal dimension by specifying eight NPG reform tools for advancing collaboration within the public sector. We argue that the NPG reform model enables scholars to capture significant collaborative transformations in public administration and suggest new avenues for public management reform research.
... Salah satu upaya strategis yang dapat dilakukan adalah inovasi pelayanan publik, yang terbukti penting dalam meningkatkan efektivitas, efisiensi, dan kepercayaan masyarakat [6]; [7]. Inovasi ini menjadi prioritas dalam reformasi pelayanan publik dengan mengikuti paradigma New Public Service yang menitikberatkan pada kepuasan dan kepercayaan masyarakat [8]; [9]. Dalam hal ini, inovasi pelayanan publik didefinisikan sebagai pengembangan dan implementasi ide baru untuk meningkatkan kualitas pelayanan dan mengatasi permasalahan publik secara optimal [10]. ...
Penelitian ini bertujuan untuk menjelaskan kapabilitas inovasi pelayanan publik di Kota Yogyakarta dengan studi kasus pelayanan administrasi kependudukan serta untuk mengetahui faktor pendukung dan faktor penghambat yang berdampak terhadapnya. Desain penelitian ini adalah deskriptif kualitatif dengan model studi kasus. Pengumpulan data dilakukan melalui wawancara kepada informan, observasi, serta studi terhadap dokumen dan literatur relevan yang diterbitkan lembaga atau instansi terkait. Hasil penelitian menunjukkan bahwa penerapan budaya inovatif berupa keterbukaan terhadap ide atau inovasi baru melalui metode bottom-up, adanya sumbangsih pengetahuan di bidang teknologi informasi, hukum, dan sosiologi, serta komitmen para pemangku kepentingan untuk berinovasi berkontribusi terhadap kapabilitas inovasi dalam pelayanan Adminduk di Kota Yogyakarta. Namun, masih terdapat sejumlah aspek yang membuat kapabilitas inovasinya belum optimal, seperti terbatasnya kolaborasi dengan pemangku kepentingan eksternal, belum adanya penetapan desain kerja yang sesuai dengan struktur organisasi yang berlaku saat ini, dan terbatasnya anggaran untuk berinovasi.
... In the context of hospitals, this involves not only adopting new technologies but also refining processes and practices to ensure they meet the dynamic needs of patients and healthcare providers alike (Sousa et al., 2022;Tushman & Nadler, 1986;West & Anderson, 1996;Zengul et al., 2014). The survey findings highlight the pivotal role of innovation in patient care, with a significant majority of respondents (60.8%) affirming its importance (Melo et al., 2022;Scott, 1990; Tonjang & Thawesaengskulthai, 2020, 2022. The survey's identification of this risk-taking divide is one of its most notable findings. ...
... According to the poll results, a majority of 80.8% of participants advocate for a comprehensive approach to evaluation, suggesting that isolated evaluations or single metrics are inadequate. This aligns with the general concept that several aspects of innovation success should be evaluated, such as staff involvement, operational effectiveness, and patient outcomes (Damanpour & Schneider, 2006;Melo et al., 2022;Scott, 1990;Sousa et al., 2022;Tonjang & Thawesaengskulthai, 2020, 2022. It has become clear that ongoing education and development are essential to effective innovation management. ...
The Knowledge, Attitudes, and Practices (KAP) survey, a widely used research tool, explores
innovation management in hospital settings, highlighting its significance in addressing patient needs, enhancing
operational efficiency, and improving clinical outcomes. The quantitative method of the KAP survey measures a
target population's knowledge, attitudes, and practices. Using a structured online questionnaire on the KAP
survey, the study investigates hospital staff perceptions and practices across multiple aspects of innovation
management, including goals, essential elements, sustainability, knowledge management, barriers, staff
receptivity, senior management support, technology adaptation, processes, success metrics, leadership,
continuous learning, integration into daily operations, risk management, communication, alignment with patient
needs, and staff incentivization. Key findings reveal the pivotal role of innovation in improving patient care, with
60.8% of respondents affirming its importance. A notable gap is the insufficient focus on risk-taking, identified
by 45.8% of participants, indicating a need for balanced risk management methods. The survey also highlights
the link between innovation and healthcare sustainability, with 36.7% acknowledging its role in enhancing
patient satisfaction. Evaluating the effectiveness of innovation proves complex, with 80.8% supporting a
multifaceted approach. Additionally, continuous learning and improvement are deemed crucial, with 81.7%
stressing their importance. These insights offer valuable guidance for healthcare organizations seeking to
enhance innovation management practices, address current challenges, and leverage opportunities for future
growth to improve patient care and outcomes. This comprehensive analysis underscores hospitals' need to
develop internal compliance with continuous innovation and adaptability to meet evolving patient needs and
technological advancements.
... In HCI infrastructure, all components are virtualized which offers a flexible and resilient environment to companies [36], [37]. Instead of the growth adoption of SDS in companies system's storage, academic research's conducted in hyperconverged field is restricted [38]. HCI solutions based on x-86 architecture helps enterprises to reduce expenses with better storage [39]. ...
Nowadays, the amount of data created by the government and public sector organizations is growing at an exponential rate. Data sharing and the interoperability of e-government systems pose technological challenges. The lack of technical interoperability prevents the successful exchange and sharing of information among public organizations. To meet this challenge, enhancing interconnection and communication between different public infrastructures is an essential condition. To optimize the provisioning of storage resources, software defined storage (SDS) solutions add flexibility and adaptability to the storage process by isolating the hardware from the software. Hyper-converged infrastructure (HCI) is an emerging set of SDS solutions that provide compute, network and storage in a single platform. This paper presents a storage HCI-based architecture to store public data from different public entities, enhance collaboration and improve technical interoperability. The relevance of this approach of e-government interoperability is to allow public organization to store their data in an efficient and flexible manner on one hand, and to participate to Morocco's e-government project on the other hand.
... ISSN 1923-4007 E-ISSN 1923-4015 The experiences analyzed show successful innovation in several sectors of public administration. Melo, de Waele and Polzer (2020) highlight that innovation is a multilevel organizational phenomenon that depends substantially on the interaction of three factors: (1) professional autonomy based on trust at the individual level; (2) an intra-organizational collaborative approach to innovation (re) design at the team level; and (3) team involvement/commitment to strategy in implementing innovations at the organizational level. In addition, formal and informal interconnected processes that reinforce each other facilitate innovation. ...
Entrepreneurship is defined as the generation of a “new or innovative idea”. Innovation is the energy that drives productivity. It is the purpose or reason for any adaptation, improvement or invention, and when successfully applied, is able to transform scarce resources into results. It is known that an entrepreneurial culture in public organizations raises the level of management. The objective of this article is to evaluate the current Brazilian scenario regarding studies that investigate whether entrepreneurship and innovation are capable of transforming the public sector. The methodology used included the search for articles on the Capes journal portal. The results demonstrated the importance of an entrepreneurial profile with the capacity to innovate, with more flexible and creative behavior. They show how leaders can create market opportunities and are able to perfect their actions. It finds that an entrepreneurial culture in public organizations raises the level of management. It was found that in the public sector, at all levels of policy and services there are different forms of innovation including, conceptual, systemic, political, administrative/organizational, in-service products and in service.
... of committed and empowered 11,12 hospital employees involved in co-design processes, do play a role in fostering innovation within the healthcare sector by enhancing intraorganizational collaborative approach. 11,[13][14][15] These factors also contribute to improving managerial tools and organizational performances by striving for the shared goals of employees and managers. 16,17 Furthermore, participatory approaches foster translation of research findings into practice. ...
... 16,17 Furthermore, participatory approaches foster translation of research findings into practice. 18 The literature suggests that successful groups are heterogeneous, interdisciplinary, presenting cross-hierarchy participants, 11,13,14 combining formal and informal working methods and communication processes 13,17 to work on problem setting and problem solving. 14 Project management professionalization, by strong project management processes and instruments, 15,19 and support provided by key stakeholders, 12 which prevent process segmentation and providing a clear setting for running and managing meetings, 14 increases project success and therefore hospital innovativeness. ...
... 16,17 Furthermore, participatory approaches foster translation of research findings into practice. 18 The literature suggests that successful groups are heterogeneous, interdisciplinary, presenting cross-hierarchy participants, 11,13,14 combining formal and informal working methods and communication processes 13,17 to work on problem setting and problem solving. 14 Project management professionalization, by strong project management processes and instruments, 15,19 and support provided by key stakeholders, 12 which prevent process segmentation and providing a clear setting for running and managing meetings, 14 increases project success and therefore hospital innovativeness. ...
Background:
This case study describes and analyses an action research initiative undertaken by management, staff and WHO at the St. Orsola-Malpighi Polyclinic in Bologna, Italy. The initiative utilised staff engagement approaches developed during the COVID-19 pandemic to rethink and reshape future development plans. The initiative provides a 'how-to' case study for complex health facilities on ways to create similar multisectoral, inclusive and holistic processes in planning structural, functional and organizational solutions for their 'hospitals of tomorrow'.
Methods:
The case study utilised an action research approach coordinated by a team of WHO facilitators in close collaboration with the Board of Hospital Directors. Heterogeneous and multidisciplinary working groups were created, with members from different levels of the hospital staff. In the context of facilitated group meetings held weekly over a one-year period, participants were asked to review topics of interest to future plans of the hospital and make recommendations on effective/innovative ways of addressing these in the short and long term. Working groups focused on different challenges.
Results:
The initiative was successful in creating and sustaining broad staff engagement in the future planning processes. 80% groups maintained high staff participation throughout the entire project year. Participating staff reported enhanced communication and cooperation between departments represented in different groups. 87% of the proposed plans suggested by the working groups were approved by the Board for implementation.
Conclusion:
Key factors contributing to the high approval rate of plans, strong engagement record of staff and enhanced cooperation between involved departments; included: multisectoral/cross hierarchal staff involvement, group attention to defining time-bound contextual goals, flexible implementation monitoring approaches, personnel skills and profiles of participants, direct and open communication at all levels and times, member commitment and clear exit strategy. The case study is presented as a model to stimulate similar actions in other complex health care facilities.
