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IJPSM:TACKLING WICKED PROBLEMS IN PERFORMANCE MANAGEMENT AND GOVERNANCE OF PUBLIC HEALTH: AN EMPIRICAL ANALYSIS OF COVID-19 VACCINATION STRATEGIES
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Purpose – Public health strategies and activities are intrinsically complex. According to the literature, this
“wickedness” depends on the different interests and expectations of the stakeholders and the community, the
fragmented governance of the related services and the challenges in measuring and assessing public health
outcomes. Existent performance measures and management systems for public health are not designed to cope
with wickedness since they are mainly focused on inputs and outputs, neglecting broader outcomes because of
their long-term impact and the poor accountability of results. This research aims to tackle this shortfall by
adopting a dynamic performance management (DPM) approach.
Design/methodology/approach – This research explores the case of the vaccination campaign of a
Regional Health System. Through the analysis of an illustrative case study, the research discusses both
opportunities and limits of the proposed approach.
Findings – This research highlights that DPM supports performance management (PM) in wicked contexts,
thanks to the adoption of a system-wide perspective and the possibility of using simulation to experiment with
alternative strategies and benchmarking performance results with simulated trends.
Originality/value – This article tackles a gap related to the management of wicked problems both from a theory
and a practical perspective. In particular, this research suggests the adoption of DPM as an approach that may
support policymakers in tackling social pluralism, institutional complexity and scientific uncertainty all at once.
Guido Noto, Anna Prenestini, Federico Cosenz, Gustavo Barresi - Personal Name
NONE
Text
ENGLISH
EMERALD INSIGHT
2023
ENGLAND
JURNAL ILMU PEMERINTAHAN
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APA Citation
Guido Noto, Anna Prenestini, Federico Cosenz, Gustavo Barresi. (2023).IJPSM:TACKLING WICKED PROBLEMS IN PERFORMANCE MANAGEMENT AND GOVERNANCE OF PUBLIC HEALTH: AN EMPIRICAL ANALYSIS OF COVID-19 VACCINATION STRATEGIES.(Electronic Thesis or Dissertation). Retrieved from https://localhost/etd