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Managers and medical professionals sitting in the psychiatric treatment chair : analysis of the impact of logics and (self-) efficacy of managers and medical professionals within psychiatric health care on the implementation process of a new financing system and the lessons learned from other organizations

Schnetgöke, Julia (2015) Managers and medical professionals sitting in the psychiatric treatment chair : analysis of the impact of logics and (self-) efficacy of managers and medical professionals within psychiatric health care on the implementation process of a new financing system and the lessons learned from other organizations.

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Abstract:The rising demand for health care leads to an increase of health care related expenditures in Germany and the Netherlands. In response, several governments already introduced incentives to react on these rising health care costs. One of these incentives is the introduction of managed competition, for example by using a ‘diagnosis-related group’ system (DRG-system) in the somatic health care sector. The DRG-system is expected to enhance cost-effectiveness of health care. Currently, the German psychiatric health care sector is implementing a new financing system, the so-called ‘Pauschalierendes Entgelt für Psychiatrie und Psychosomatik’ system (PEPP-system). It is reasoned that the PEPP-system allows costs to be based upon diagnoses and severity of illness. In order to enhance the implementation of the PEPP-system insights into the perceptions of stakeholders affected by the implementation of this system are needed. The perceptions of stakeholders are ought to be influenced by the logics they are embedded in and their (self-) efficacy. In analysing these perceptions, this research draws upon the theory of Reay and Hinings (2009), stating that there are two logics within health care, namely business-like health care and medical professionalism. Also, the (self-) efficacy of stakeholders is considered, as this determines a person’s beliefs regarding his own ability to perform a certain activity successfully. It is unknown to what extent logics and the (self-) efficacy influence the perceptions of managers and medical professionals on the implementation of a new financing system. Therefore the following research question is developed: “In what manner do logics and (self-) efficacy of professionals within psychiatric health care influence the perceived implementation of a new financing system and which lessons can be learned from other organizations?”
Item Type:Essay (Master)
Clients:
Frau
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/67803
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