The stakeholder landscape in the public healthcare process—challenges, elements and implications for stakeholder management
Abstract
The complexity, multifunctionality and multidisciplinary nature of public healthcare have created a challenging environment in which to plan, organise and manage healthcare processes. Among the main challenges are the governance model and the fact that there are numerous stakeholders. This study analyses the regional public healthcare process through stakeholder analysis and an evaluation of the stakeholder landscape. The overall purpose of this study is to describe the complexity of stakeholder management in our healthcare process case study and describe what impacts stakeholder management and landscape have on healthcare process management. It also provides stakeholder landscape as a method to pland and manage public processes containing numerous stakeholders.
Based on the analysis of our healthcare process case study (Northern Ostrobothnia Hospital District), complexity (both numbers and relationships), uncertainty, dynamism and institutional context all pose challenges for the public management. Surprisingly, our informants gave incoherent accounts of formal – not to mention informal – stakeholder salience. There is evident potential to utilise stakeholder landscaping, as well as its social and healthcare development and management elements (planning, organising and implementing), to achieve more efficient and effective results. The method applied in this study can be seen as an important contribution to public healthcare process management.
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