Unintended consequences of management concepts in healthcare: The mix of value configurations in diabetes care

In recent decades, process management has become a major trend in healthcare organizations, indicating chain as value configuration. The aim of the paper is to describe and analyze implementation of process management in a... [ view full abstract ]

In recent decades, process management has become a major trend in healthcare organizations, indicating chain as value configuration. The aim of the paper is to describe and analyze implementation of process management in a healthcare organization, based on value configurations. A qualitative case study was performed on a healthcare unit that had formalized its care processes according to process management. The study showed how different value configurations are present parallel and intertwined in healthcare, and that implementing concepts emphasizing one value configuration do not replace current value configurations, because management is only one of several logics that influence action.

Keywords: value configuration; chain; shop; network; healthcare