Manuela S. Macinati, PhD, is Full Professor of Management, Facoltà di Economia, Università Cattolica del Sacro Cuore, Rome, Italy. E-mail:
Health Care Manage Rev. 2020 Oct/Dec;45(4):290-301. doi: 10.1097/HMR.0000000000000231.
In health care, important phenomena of perceived incompatibility between professional and managerial values have emerged as consequences of New Public Management reforms. Although there is a growing evidence on the variation in the enactment of hybrid roles by medical managers, existing research in health care management is mostly descriptive with little emphasis on the conditions under which hybrid roles are enacted and, importantly, on the effects of this variation on performance.
In this article, we seek to fill this research gap by empirically examining (a) whether budgetary participation aligns professional and organizational values, (b) the impact of this alignment on employees' work-related feelings and managerial performance, and (c) the effect of professional identity on value congruence.
Data were collected by a survey conducted in an Italian hospital, and partial least square was used to test the relationships among variables.
Overall, results show that (a) high involvement in budgeting is instrumental in facilitating medical managers' value congruence, and this, in turn, positively effects managerial job engagement; (b) the effect of budgetary participation on value congruence depends on the extent of professional identity; and (c) as a result of enhanced value congruence and managerial job engagement, employees tend to deliver superior role performance.
Findings of this study provide some guidance for managers on how organizations can take steps to guarantee effective support to hybrid professionals.
在医疗保健领域，新公共管理改革带来了专业和管理价值观之间明显不兼容的现象。尽管越来越多的证据表明医疗管理人员在扮演混合角色方面存在差异，但现有的医疗保健管理研究大多是描述性的，很少强调混合角色的实施条件，更重要的是，这种差异对绩效的影响。
本文通过实证检验（a）预算参与是否能使专业和组织价值观保持一致，（b）这种一致性对员工工作相关感受和管理绩效的影响，以及（c）专业身份对价值一致性的影响，来填补这一研究空白。
数据是通过在意大利一家医院进行的一项调查收集的，采用偏最小二乘法检验变量之间的关系。
总体而言，结果表明（a）高度参与预算编制有助于促进医疗管理人员的价值观一致，而这反过来又对管理工作投入产生积极影响；（b）预算参与对价值一致性的影响取决于专业身份的程度；（c）由于价值一致性和管理工作投入的提高，员工往往会提供更好的角色绩效。
本研究的结果为管理者提供了一些指导，说明组织如何采取措施为混合专业人员提供有效的支持。
