Health System Management: Part-2
Proloy Barua*, Dr Phudit Tejativaddhana**, Reggie Dalman Hinoguin***
* PhD student, College of Health Systems Management (CHSM)
** Assistant Professor, CHSM
*** Lecturer, CHSM
In the previous post, we talked about the classical approach of management (Health System Management: Part-1). In this post post, we briefly discuss neoclassical approach of health system management and its basic components. Given the complexity and dynamism of health system, classical approach of management is inefficient to some extent. So, neoclassical approach has emerged in health system management, which is briefly discussed below.
The neoclassical approach of management: Neoclassical theory has made a significant contribution to an understanding of human behaviour at work and in the organisation. It has generated awareness of the overwhelming role of the human factor in the organisation. This approach has given new ideas and techniques for better understanding of human behaviour. Contributors to this approach recognise an organisation as a social system subject to the sentiments and cultural patterns of the member of the organisation, group dynamics, leadership, motivation, participation, job environmental, etc. which constitute the core of the neoclassical theory. This approach changed the view that employees are tools and furthered the belief that employees are valuable resources. It also laid the foundation for later development in management theory.
Classical and neoclassical approach to management made an outstanding contribution to the development of management thought. Under classical approach, attention was focused on job and machine. On the other hand, neoclassical’s approach to management emphasises on increasing production through an understanding of people. The key differences are presented in Table 1
Table 1: Classical and Neoclassical approach of management
|Points of distinction||Classical approach||Neoclassical approach|
|Focus||functions and economic demand of workers||Emotion and human qualities of workers|
|Structure||Impersonal and mechanistic||Social system|
|Application||Autocratic management and strict rules||Democratic process|
|Emphasize||Discipline and rationality||Personal security and social demand|
|Work goal of worker||Maximum remuneration and reward||Attainment of organisational goal|
|Concept about men||Economic being||Social being|
|Content||Scientific management, administrative management, and bureaucratic management||Hawthorne experiment, human relation movement and organisational behaviour|
Source: Adapted from (Sarker & Khan, 2013)
Neoclassical approach is not free from limitations. First, it lacks the precision of classical theory because human behaviour is unpredictable. Secondly, its conclusions lack scientific validity and suffer from a clinical bias, and its findings are tentative. Lastly, its application in practice is very difficult because it requires fundamental changes in the thinking and attitude of both management and workers.
- Akrani, G. (2011, April 21). What is Management? Definitions Meaning and Features. Retrieved from http://kalyan-city.blogspot.com/2011/04/what-is-management-definitions-meaning.html
- Sarker, M. S. I. & Khan, M. R. A. (2013). Classical and neoclassical approaches of management: An overview. IOSR Journal of Business and Management: 14(6):1-5. Retrived from http://iosrjournals.org/iosr-jbm/papers/Vol14-issue6/A01460105.pdf
- Olmen J, Criel B, van Damme W, Marchal B, van Belle S, van Dormael M, Hoeree T, Pirard M, Kegels G: Analysing health system dynamics–A framework. In Studies in Health Services Organization, Volume 28. 2nd edition. Edited by Kegels G, De Brouwere V, Criel B. Antwerp: ITG Press; 2012.
- WHO (2000) World health report 2000 – Health systems: Improving performance. Geneva: World Health Organization.
- WHO (2007) Everybody’s business: Strengthening health systems to improve health outcomes: WHO’s Framework for Action. Geneva: World Health Organization.
- WHO (2008) World health report 2008 – Primary health care: More than ever. Geneva: World Health Organization.
- WHO (2010). A handbook of indicators and their measurement strategies. Geneva: WHO; Monitoring the building blocks of health systems. Retrieved from http://www.who.int/healthinfo/systems/WHO_MBHSS_2010_full_web.pdf