Send to:

Choose Destination
See comment in PubMed Commons below
Int J Health Plann Manage. 2014 Jan-Mar;29(1):e1-30. doi: 10.1002/hpm.2177. Epub 2013 Apr 8.

Beyond feedback control: the interactive use of performance management systems. Implications for process innovation in Italian healthcare organizations.

Author information

  • 1Department of Economics and Management, University of Pavia, Pavia, Italy.


This paper shows how the use of performance management systems affects managers' perception of satisfaction, the effectiveness of the control system and the performance related to process innovation. An exploratory empirical research has been conducted on 85 managers operating in Italian healthcare organizations. Empirical findings put forward that the interactive--as opposed to diagnostic--use of performance management systems enhances managerial satisfaction with the control system and managerial perception of effectiveness. The present study then showed that it is not the control itself that is an obstacle to innovation in organizations in general (and in health organizations in particular) but the diagnostic use of the control mechanisms, which impedes the interaction between the control personnel and those subject to the control. Finally, this paper addresses managerial implications and further research avenues.

Copyright © 2013 John Wiley & Sons, Ltd.


healthcare organizations; interactive use of control; performance management system; process innovation; satisfaction

[PubMed - in process]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley
    Loading ...
    Write to the Help Desk