Management towards financial sustainability for private health companies

2018 ◽  
Vol 41 (3) ◽  
pp. 379-394 ◽  
Author(s):  
Lucas Manoel Marques Clemente ◽  
Alexandre Pereira Salgado Junior ◽  
Eduardo Falsarella Júnior ◽  
Marco Antonio Alves de Souza Junior ◽  
Juliana Chiaretti Novi ◽  
...  
Keyword(s):  
Health Insurance ◽  
Financial Management ◽  
Management Practices ◽  
Qualitative Comparative Analysis ◽  
High Volume ◽  
Long Term Results ◽  
Financial Sustainability ◽  
Management Tools ◽  
Content Type ◽  
High Level

Purpose The purpose of this study was to identify a set of management practices towards financial sustainability for Brazilian private health insurance and plans companies. Design/methodology/approach The present paper uses a bimodal two-step approach. The first step was quantitative, with the data envelopment analysis (DEA) technique in 521 Brazilian private health companies (PHCs). At this stage, the objective was to obtain scores to rank the PHCs regarding their financial performance and services in 2013. From the quantitative analysis, two PHCs displaying contrasting performances were selected and interviewed to identify differentiating management practices. Findings The Group Medicine PHCs displayed a higher performance in the financial approach. Following the qualitative comparative analysis, the financially sustainable PHC presented the following differentials: a high level of financial management professionalization, a deliberate policy for the control and prevention of claims and a larger share of revenues from health plans over service revenues. Research limitations/implications However, a limitation of the study lies in the fact that by not using any cash flow or financial result variables, the financial efficiency model used in the study does not evaluate the generation capacity of long-term results. It is noteworthy that, because it is a multiple case study, the results found cannot be generalized and should be understood only as characteristics of the studied PHCs in here. Practical implications The present paper can contribute to managers of Brazilian PCHs towards the implementation of management tools aimed at the sustainability of those organizations. Originality/value Despite the importance of the Supplemental Health Insurance System for public health in Brazil, PHCs have received a high volume of complaints and struggled with constant financial problems.

scholarly journals Financial sustainability of Malaysian public universities: officers’ perceptions

2019 ◽  
Vol 33 (2) ◽  
pp. 317-334 ◽  
Author(s):  
Nik Nazli Nik Ahmad ◽  
Suhaiza Ismail ◽  
Siti Alawiah Siraj
Keyword(s):  
Financial Management ◽  
Public Universities ◽  
Management Practices ◽  
Financial Sustainability ◽  
Administrative Staff ◽  
Content Type ◽  
Senior Officers ◽  
Sustainability Challenges ◽  
Revenue Enhancement ◽  
Future Work

Purpose The purpose of this paper is twofold: first, to elicit perceptions of senior officers on the overall financial sustainability of their institutions; and, second, to examine senior officers’ perceptions on important revenue diversification and cost management practices. Design/methodology/approach The study employed a questionnaire survey with senior academic and administrative staff of the 20 public universities in Malaysia. In total, 275 questionnaires were distributed and 69 were returned, yielding a response rate of 25.09 per cent. Descriptive statistics were used to analyse the general perceptions of the survey respondents on public university financial sustainability issues. Findings The study suggests that respondents are receptive of the financial sustainability challenges faced by their institutions. Respondents agree that increasing tuition fees may not be a feasible revenue enhancement strategy for public universities. Instead, all respondents agree that full utilisation of resources will be a key strategy that the universities can apply. Originality/value This study contributes to the limited research on the financial sustainability of public universities in developing countries. Findings of the study have implications for the financial management and governance of public universities in Malaysia and other countries facing similar fiscal challenges. The findings of the study also provide important empirical evidence for future work in the area.

Accountability in the financial management practices of school principals

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Agrippa Madoda Dwangu ◽  
Vimbi Petrus Mahlangu
Keyword(s):  
Financial Management ◽  
Management Practices ◽  
Basic Education ◽  
School Principals ◽  
School Principal ◽  
Department Of Education ◽  
Eastern Cape ◽  
Structured Interviews ◽  
Content Type ◽  
The Status

PurposeThe purpose of this article is to investigate the effectiveness of accountability mechanisms employed in financial management practices of school principals in the Eastern Cape Provincial Department of Education. The strengths and weaknesses of the systems and mechanisms of the processes to hold school principals accountable are explored in detail in this study. The argument that this article seeks to advance is that accountability of the school principal to the school governing body (SGB) does not yield the best results in terms of efficiency. It creates a loose arrangement in terms of which the school principal takes part in financial mismanagement in schools.Design/methodology/approachData collection was made through semi-structured interviews whose purpose was to draw experiences from SGBs, particularly the finance committees who are in fact the sub-committees of the SGBs; as well as literature review. The finance committee is made up of the chairperson of the SGB, the secretary of the SGB, the treasurer of the SGB, and the financial officer who is a clerk responsible for the keeping and the management of financial records of the school. The process started with semi-structured interviews, then transcribing, coding, developing themes, making meaning of the themes and subsequently developing a principle.FindingsMechanisms employed by schools and the Department of Education to hold principals accountable for their financial management practices fail to make them fully accountable and effectively face the consequences of acts on their part that are illegal and unlawful. The mechanisms need a great deal of overhauling. The argument that this article seeks to advance is that this account of the school principal to the SGB does not yield the best results in terms of efficiency. It creates a loose arrangement in terms of which the school principal easily gets away with a crime when financial mismanagement occurs in the school.Research limitations/implicationsParticipants could possibly not be comfortable and willing, to tell the truth as it is. Participants might have the fear that telling the truth could land them in trouble with the law. Whilst participants were assured by the researchers of their anonymity and the confidentiality of the information given by them, there was no guarantee that the fear of being exposed would subdue completely. There was also a possibility that some participants would not be willing to say the truth as it is for fear of being victimised by other participants for exposing the status quo in their schools.Practical implicationsThe findings and recommendations from this study may be used by the Department of Basic Education as a source of information for policymakers and stakeholders to understand the effectiveness of their mechanisms to ensure the accountability of school principals on issues of financial management. On the basis of this study, policymakers will then be able to revisit their policies for the purpose of strengthening them. The principal is therefore responsible for the day-to-day administration and management of school funds because of this mandatory delegation. However, when things go wrong, it is the SGB that is held liable.Social implicationsSchool principals hold dual accountability in terms of which they are accountable to the employer only in so far as their professional responsibilities are concerned on financial management in the first instance. They are by no means accounting officers in schools. In the second instance, they are fully accountable to the SGB for issues relating to financial management. Section 16A of SASA lists the functions and responsibilities for which the principal as an employee of the Department of Basic Education, and in his official capacity as contemplated in Sections 23(1) and 24(1) (j) of the same Act, is accountable to the head of department (HOD).Originality/valueThe study provides a theoretical and empirical contribution to the existing literature on the effectiveness of the mechanisms employed to ensure the accountability of school principals in their financial management practices in schools. It offers practical recommendations putting in place mechanisms that effectively hold school principals wholly accountable for their financial management practices in schools. Most of the time, it is easy for the principal to get away with a crime even in instances where he or she is called upon to account for alleged financial mismanagement.

Factors influencing Midwestern grain farmers’ use of risk management tools

2019 ◽  
Vol 79 (2) ◽  
pp. 192-203
Author(s):  
Brian K. Coffey ◽  
Ted C. Schroeder
Keyword(s):  
Risk Management ◽  
Management Practices ◽  
Mail Survey ◽  
Management Tool ◽  
Farm Size ◽  
Management Tools ◽  
Content Type ◽  
Multinomial Logit Regression ◽  
Decision Choices ◽  
Grain Farmers

PurposeThe purpose of this paper is to identify the relationships between grain farm and farmer profiles and their respective choices to use forward pricing techniques and revenue protection crop insurance to manage risk.Design/methodology/approachAn e-mail survey of Midwestern grain farmers elicited farmer demographic information, farm profile, risk attitudes and farmer use of forward pricing and revenue protection insurance. Responses regarding use of risk management tools were compiled as choices to use possible bundles of tools to account for simultaneous nature of the decision. Choices to use bundles of tools were used as the independent variable categories in a multinomial logit regression. Regressors were relevant data collected from the survey.FindingsFarm size, using a market advisory service, and being a technology adopter are the most important factors in predicting risk management tool use by grain farmers. Farmers tend to use forward pricing and revenue protection insurance in combination. Large farms are more likely to use forward pricing tools.Practical implicationsResults provide researchers, extension professionals and risk management specialists with a current understanding of how farm and farmer characteristics relate to use of risk management tools. The authors also elaborate on findings to provide guidance for future risk management research.Originality/valueThe survey covered 9 Midwestern states and 648 grain farmers. The survey results update understanding of grain farmers’ risk management practices. The empirical approach treats risk management decisions to use available tools as simultaneous, which recent literature suggests is more appropriate than earlier approaches.

Effects of financial management practices on technical performance of building contractors in northeast Nigeria

2020 ◽  
Vol 25 (2) ◽  
pp. 201-223
Author(s):  
Abdulmalik Sa'eed ◽  
Nuru Gambo ◽  
Ibrahim Ibrahim Inuwa ◽  
Innocent Musonda
Keyword(s):  
Developing Countries ◽  
Best Practices ◽  
Construction Industry ◽  
Financial Management ◽  
Management Practices ◽  
Small Scale ◽  
Content Type ◽  
Technical Performance ◽  
Practical Implications ◽  
Northeast Nigeria

Purpose The purpose of this study is to assess the effects of financial management practices of small-scale building contractors on the technical performance of the contractors in the northern part of Nigeria with international best practices. Previous studies argued that the technical performance of small-scale building contractors in developing countries is poor because of insufficient cash to acquire strategic resources at the outset of a project. This continues to pose a challenge to the sustainable development of the construction industry, particularly in developing countries like Nigeria. There is, therefore, a need to identify, assess and compare the effects of financial practices of the contractors with technical performance best practices. Design/methodology/approach The technical performance of each contractor was evaluated using a five-point Likert scale. This is used to obtain the mean technical performance levels of the contractors. A questionnaire survey was administered to the professionals in the industry who were selected by using a proportionate stratified random sampling technique. The contractors’ performance was compared using ANOVA with post hoc, and the effects of contractors’ financial management practices were determined using multiple regression analysis. Findings The results of this study indicated that the contractors in Nigeria were average technical performers and there were large effects of financial management practices on the technical performance of contractors in building projects. Research limitations/implications This study is limited to small-scale building contractors in northeast Nigeria. One of the implications of this study is that it provides the criteria for an evaluation of small-scale building contractors’ technical performance in Nigeria and other developing countries that faced similar problems. Practical implications The practical implications of this study are that it establishes the current level of contractors' technical performance and serves as an awareness of contractors' current financial practices. Social implications This study created bases for self-evaluation of contractors’ technical performance and competition among small-scale contractors in Nigeria for the enhancement of productivity particularly in rural areas for national development. Originality/value This study emanated from the government reports and past studies in the area of performance management based on the persistence of poor technical performance of small-scale contractors in the construction industry.

Management and culture in successful networks

2019 ◽  
Vol 33 (4) ◽  
pp. 381-400
Author(s):  
Daniela Cristofoli ◽  
Mattia Martini ◽  
Benedetta Trivellato ◽  
Dario Cavenago
Keyword(s):  
Network Management ◽  
Network Performance ◽  
Management Practices ◽  
Qualitative Comparative Analysis ◽  
Critical Factor ◽  
Content Type ◽  
Network Characteristics ◽  
Network Culture ◽  
Managerial Behaviors ◽  
Funded Project

Purpose It is generally recognized that network management is a critical factor for network success. It is also acknowledged that different managerial behaviors are necessary in different network settings. Scholars have explored the relationships between network characteristics and managerial behaviors, but the role of network culture in influencing network managers’ activities remains under-investigated. The purpose of this paper is to address this gap. Design/methodology/approach The analysis is developed through a fuzzy-set qualitative comparative analysis of 18 country-based networks involved in the same EU-funded project. Findings The results shed light on two different combinations of network culture types and management practices simultaneously leading to high network performance. Originality/value The paper confirms the existence of a relationship between network management and certain characteristics of the networks, in particular network culture.

Knowledge management measures: an empirical investigation of Indian cement industry

2019 ◽  
Vol 26 (3) ◽  
pp. 734-752 ◽  
Author(s):  
Manish Dave ◽  
Kanhaiya Singh ◽  
Arya Kumar ◽  
Sachin Kumar
Keyword(s):  
Knowledge Management ◽  
Value Chain ◽  
Management Practices ◽  
Reliability And Validity ◽  
Cement Industry ◽  
Sales Managers ◽  
Management Tools ◽  
Content Type ◽  
Management Measures ◽  
E Mail

Purpose The purpose of this paper is to develop knowledge management constructs comprising of KM processes and KM practices through marketing and sales to derive competitive advantage (CA) in the cement industry. Design/methodology/approach A thorough and detailed analysis of the literature was carried out to develop the measures for KM practices, KM processes and their impact on CA. A total of 65 variables affecting competitiveness in the form of questionnaire were developed. The questionnaire was administered through e-mail to 962 territory sales managers (TSM) and equivalent employed in the marketing and sales function of the cement organizations in India. A total of 121 valid and complete responses were received, representing a response rate of 12.6 percent. The factor analysis was carried out on the data collected to establish reliability and validity of the measures. Findings A total of seven constructs pertaining to knowledge management practices and processes and competitiveness that comprises of 65 variables have been developed. The statistical results establish that the constructs and the variables considered in the study are reliable and valid. Research limitations/implications The sample of respondents for developing constructs consisted of TSM and equivalent employed in the marketing and sales function of cement companies in India. Research scope can be enhanced in the future study by including middle and senior level managers in cement companies to better diagnose and understand perception of KM initiatives across different levels in the cement industry. The work can also be extended to incorporate inbound logistics and procurement that directly contributes to the overall value chain to have a holistic perspective. Practical implications The measures developed in this study would be effective management tools for the implementation of knowledge management initiatives in the marketing and sales function to ascertain their level of implementation and impact on the competitiveness. Originality/value This study is probably the first of its kind in India to provide KM measures combined for practices and processes to understand the relationship with competitiveness in cement companies pertaining to marketing and sales function. It provides valuable insights as a strategic tool for investing in KM initiatives.

Resistance to change in the financial management of small family-owned firms: a grounded theory of family firms in Laos

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hanvedes Daovisan ◽  
Thanapauge Chamaratana
Keyword(s):  
Grounded Theory ◽  
Financial Management ◽  
Family Firms ◽  
Management Practices ◽  
Resistance To Change ◽  
Sampling Procedure ◽  
Content Type ◽  
Management Processes ◽  
Open Coding ◽  
Axial Coding

Purpose The purpose of this study is to apply a grounded theory (GT) approach to develop a theory of resistance to change in the financial management of Laotian family firms. Design/methodology/approach The research adopts a GT approach, using a theoretical sampling procedure. Interviews were conducted with 36 Laotian family firms between April 2017 and May 2019. The in-depth interview transcriptions were analyed using open coding, axial coding and selective coding. Findings The interviewees identified that strategic planning, budgeting and management processes are factors influencing resistance to change. Research results show that accounting portfolios, investment decisions and return on assets are aspects of financial management that are particularly prone to change. The authors, therefore, suggest that Laotian family firms’ reduction in confidence and loss aversion may activate resistance to the adoption of more efficient financial management practices. Originality/value To the best of the authors’ knowledge, this is the first research to attempt to use grounded data to emerge a theory of resistance to change in financial management in Laos.

Portuguese primary healthcare – sustainability through quality management

2017 ◽  
Vol 34 (2) ◽  
pp. 251-264 ◽  
Author(s):  
Sónia Duarte Silva ◽  
Ana Fonseca
Keyword(s):  
Quality Management ◽  
Primary Healthcare ◽  
Management Practices ◽  
Resistance To Change ◽  
Global Perspective ◽  
Local Health ◽  
Healthcare Organizations ◽  
Management Tools ◽  
Content Type ◽  
Health Trust

Purpose The purpose of this paper is to apply quality management tools and practices in the design of an integrated accreditation model for Local Health Trusts, in order to contribute to the sustainability of the Portuguese Primary HealthCare Service. Following the guidelines of the Portuguese Health Quality Strategy, the proposed model is an adaptation of the model from Agencia para la Calidad Sanitaria de Andaluzia. Design/methodology/approach The development of the integrated accreditation model was based on a literature review, complemented with observation and analysis of the usual working methods in a Local Health Trust (Western Oporto Health Trust). Findings Local Health Trusts include not only clinical management units but also non-clinical administrative units. Therefore, the National Model for Accreditation of HealthCare Institutions is not easily or directly applicable to them. To overcome this problem, the model proposed in this study incorporates ISO 9001 principles, widely accepted regarding organizational management. The success of the application of this model is highly dependent on the ability of public Primary HealthCare organizations to deal with potential problems such as resistance to change, lack of leadership and inadequate people management and involvement. Originality/value The integrated accreditation model proposed in this research is expected to promote the cohesion of Local Health Trust units, encouraging integrated quality management practices and continuous improvement strategies, leading Local Health Trusts, Primary Care and HealthCare in a global perspective toward sustainability.

Investigating the causal link between a management improvement technique and organizational performance

2017 ◽  
Vol 40 (4) ◽  
pp. 429-450 ◽  
Author(s):  
André de Waal ◽  
Robert Goedegebuure
Keyword(s):  
Organizational Performance ◽  
High Performance ◽  
Management Practices ◽  
Longitudinal Research ◽  
Linear Regression Analysis ◽  
Causal Link ◽  
Content Type ◽  
Key Factor ◽  
Organizational Results ◽  
High Level

Purpose An important question in contemporary research is: do certain management practices cause better performance or do better performing organizations find it easier to adopt certain management practices? This question is also of importance when applying the high performance organization (HPO) framework, which is a scientifically validated technique designed to achieve and sustain a high level of performance. Many research studies correlate the HPO framework with improved organizational performance. There are, however, no studies which explicitly look at the causal relationship. This paper aims to provide empirical evidence of causality. Design/methodology/approach Longitudinal research was conducted at two companies. An HPO diagnosis was conducted at each company, after which management implemented the HPO framework. Two units at each company were selected as case studies. Data were collected, using a questionnaire and interviews, at the beginning and after 18 months, when the diagnoses were repeated. A linear regression analysis was performed to interpret the data. Findings Despite exposure to the same HPO framework techniques, organizational units achieved significantly different outcomes. In each company, one unit achieved a higher HPO score and higher organizational results, while the other unit had no change, or a lower HPO score and lower organizational results. The key factor was the manner in which unit managers applied the HPO framework. Practical implications Optimal effectiveness for the HPO framework occurs when management incorporates the HPO factors into the workplace and strives diligently to improve performance. Originality/value This research responds to the question “Do certain management practices cause better performance or do better performing organizations find it easier to adopt certain management practices?”

scholarly journals An empirical study of long-term personal project information management

2016 ◽  
Vol 68 (4) ◽  
pp. 495-522 ◽  
Author(s):  
Klen Copic Pucihar ◽  
Matjaž Kljun ◽  
John Mariani ◽  
Alan John Dix
Keyword(s):  
Project Management ◽  
Tacit Knowledge ◽  
Information Management ◽  
Management Practices ◽  
Personal Information ◽  
Knowledge Workers ◽  
Information Space ◽  
Management Tools ◽  
Content Type ◽  
Personal Project

Purpose – Personal projects are any kind of projects whose management is left to an individual untrained in project management and is greatly influenced by this individual’s personal touch. This includes the majority of knowledge workers who daily manage information relating to several personal projects. The authors have conducted an in-depth qualitative investigation on information management of such projects and the tacit knowledge behind its processes that cannot be found in the organisational structures of current personal information management (PIM) tools (file managers, e-mail clients, web browsers). The purpose of this paper is to reveal and understand project information management practices in details and provide guidelines for personal project management tools. Design/methodology/approach – Semi-structured interviews similar to that in several other PIM exploratory studies were carried out focusing on project fragmentation, information overlap and project context recreation. In addition, the authors enhanced interviews with sketching approach not yet used to study PIM. Sketches were used for articulating things that were not easily expressed through words, they represented a time stamp of a project context in the projects’ lifetime, uncovered additional tacit knowledge behind project information management not mentioned during the interviews, and were also used to find what they have in common which might be used in prototype designing. Findings – The paper presents first personal project definition based on the conceptualisations derived from the study. The study revealed that the extensive information fragmentation in the file hierarchy (due to different organisational needs and ease of information access) poses a significant challenge to context recreation besides cross-tool fragmentation so far described in the literature. The study also reveals the division of project information into core and support and emphasises the importance of support information in relation to project goals. Other findings uncover the division of input/output information, project overlaps through information reuse, storytelling and visualising information relations, which could help with user modelling and enhancing project context recreation. Research limitations/implications – On of the limitations is the group of participants that cannot represent the ideally generalised knowledge worker as there are many different kinds of knowledge workers and they all have different information needs besides different management practices. However, participants of variety of different backgrounds were observed and the authors converged observations into points of project information management similarities across the spectrum of different professions. Nevertheless, its observations and conceptualisations should be repeatable. For one, some of the issues that emerged during this work have been to different extents discussed in other studies. Practical implications – The empirical findings are used to create guidelines for designing personal project information management tools: support the selective focus on information with the division into core and supportive information; visualise changes in project information space to support narratives for context recreation; overcome fragmentation in the file system with selective unification; visualising project’s information relationship to better understand the complexity of project information space; and support navigating in project information space on two axes: time and between projects (overlaps through information). Originality/value – The study presents a longitudinal insight into personal project information management. As such it provides a first formal definition of personal project from the information point of view. The method used in the study presented uses a new approach – sketching in which participants externalised and visualised personal information and projects they discussed. The insights derived from the study form design implications for personal project management tools for knowledge workers.

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