Academic literature on the topic 'Public Value Management (PVM)'
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Journal articles on the topic "Public Value Management (PVM)"
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Sedlačko, Michal. "The Five Tasks of Public Value Management: Public Value as a Programme of Administrative and Societal Democratisation." NISPAcee Journal of Public Administration and Policy 13, no. 2 (December 1, 2020): 161–80. http://dx.doi.org/10.2478/nispa-2020-0019.
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AbstractThe aim of this essay is threefold: (1) to identify the tasks of public managers in public value management (PVM), (2) to start a debate on the relationships between autonomy, entrepreneurship and PVM from the perspective of institutional roles and management levels, and (3) to initiate a discussion about the transferability of PVM to diverse administrative systems and cultures. The public value discourse emerged in the 1990s, justifying the need for the concept through a deficit in democratic legitimacy, the delivery paradox, as well as market failure and the critique of New Public Management. Public value focuses on the ultimate purpose of the use of public resources and can thus serve to strengthen outcome legitimacy and downward accountability. Arguably, the most productive interpretation of the public value concept rests along the lines of a normative, conceptual orientation for managerial action, accompanied by a (so far somewhat sparse) set of practical tools and reasoning for public managers. Five tasks of PVM were identified: (1) conducting political management to secure legitimacy for particular value propositions; (2) leveraging public value opportunities through networks and a range of delivery mechanisms; (3) ensuring continuing democratisation through helping the realisation of politically empowered citizenship; (4) ensuring learning across multiple levels and audiences; and (5) cultivating a wider view of sustainable wellbeing for all. Regarding the applicability of PVM across various dimensions of administrative traditions and cultures, it would seem that the tasks are more compatible with some cultures and traditions than others. For instance, these roles seem more compatible with non-politicised public administrations that grant high societal status and discretion to civil servants, and provide them with generalist training and career options. One of the key open questions is under what conditions can a public value approach contribute to changes in the given public administration culture, in particular towards the development of downward accountability mechanisms in the context of democratic backsliding and constraints to bureaucratic autonomy.
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Douglas, Scott, and Tom Overmans. "Public value budgeting: propositions for the future of budgeting." Journal of Public Budgeting, Accounting & Financial Management 32, no. 4 (July 31, 2020): 623–37. http://dx.doi.org/10.1108/jpbafm-05-2020-0066.
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PurposeThe principles of public value management (PVM) have greatly inspired public management practitioners and scholars, but the application of these ideas to the everyday practice and research of government has proven to be more difficult. This article formulates propositions for how the principles of PVM could affect one of the core processes of government: budgeting. These propositions can inspire practitioners and be tested by future researchers.Design/methodology/approachThe article identifies the core principles of PVM and applies these to the budgeting functions of the allocation, management and accountability of public money. This exploration leads to a first conceptualization of “public value budgeting” and generates 12 propositions about how budgeting will change and remain unaltered under the influence of PVM.FindingsThe central argument is that “public value budgeting” could promote more coordination and integration between public funds and community resources, more involvement of societal stakeholders in the budgetary process and more continuous tweaks and changes to the budget. At the same time, legislative vetoes, financial controls and debates about the best use of public money will remain an important feature of public budgeting.Originality/valueThe article forwards the first conceptualization of public value budgeting, connects the literatures on public value and public budgeting, and offers both a practical application of PVM to public budgeting as well as a concrete agenda for future research.
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Nuti, Sabina, Guido Noto, Tommaso Grillo Ruggieri, and Milena Vainieri. "The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management." International Journal of Environmental Research and Public Health 18, no. 5 (March 8, 2021): 2732. http://dx.doi.org/10.3390/ijerph18052732.
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In the last decades, public management has been subjected to a shift from the New Public Management (NPM) paradigm to the Public Value Management (PVM) one. Thus, management practices such as Planning and Control (P&C) systems have been called to evolve accordingly. The health care sector has not escaped this process. This paper focuses on the evolution of hospitals’ P&C systems to support the paradigm shift from the NPM paradigm to the PVM one. In particular, the paper aims at exploring whether hospitals’ P&C systems in Italy evolved, or are evolving, consistently with PVM and what are the expected benefits related to such a paradigm switch. To address the research aim, the paper is based on a review of scientific and grey literature and the case study of the diabetic-foot pathway in an Italian Regional Healthcare System. The results of this study show that the current P&C systems in Italian hospitals are not yet designed to support the shift toward the PVM approach and are still mainly focused on financial aspects and intra-organizational dynamics. Combining traditional P&Cs with performance measures assessing the system’s outcomes may support hospitals in aligning their goals with the health system they are operating within and, therefore, P&C systems may represent an important driving force toward change. Such results provide suggestions for both practitioners and academics on how to adapt P&C systems to better support the implementation of current strategies of the public sector.
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Çolak, Çagrÿ D. "Why the New Public Management is Obsolete." Hrvatska i komparativna javna uprava 19, no. 4 (December 30, 2019): 517–36. http://dx.doi.org/10.31297/hkju.19.4.1.
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In the 1980s and 1990s, the New Public Management (NPM) paradigm dominated the field of public administration. However, this paradigm, which integrates the principles of the private sector and business administration into the field of public administration, began to be criticised in the new millennium after a quarter century of domination. The criticisms soon turned into comprehensive challenges which emerged as the post-NPM trends. The aim of this paper is to explain what makes NPM obsolete within the framework of these criticisms. Five post-NPM trends and their starting points are examined: new public service (NPS), public value management (PVM), digital era governance (DEG), neo-Weberian state (NWS) and new public governance (NPG). The main method for the theoretical basis of the paper was to screen and evaluate secondary sources. As a result, the waves of criticism on NPM are seen to be transformed into pursuits for an alternative paradigm in the new millennium. These pursuits, common in many aspects and differing only in terms of their basic emphasis, are called post-NPM trends. They are based on the assumption that NPM is obsolete.
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Herman, Achmad. "Indonesian government’s public communication management during a pandemic." Problems and Perspectives in Management 19, no. 1 (March 3, 2021): 244–56. http://dx.doi.org/10.21511/ppm.19(1).2021.21.
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The COVID-19 pandemic has triggered a health emergency as a vaccine for it has not been found yet requiring the government to seriously manage it. Therefore, the government needs to effectively implement non-pharmaceutical measures. One of the measures to suppress the spread of the virus is public communication. The government’s public communication in dealing with COVID-19 has faced problems resulted in low public discipline and awareness thus far. This study used a quantitative approach with descriptive statistics analysis. The analysis does not generalize the result but it can explain the characteristics of the sample to formulate the meaning of the result. The findings show that the public communication management of the government of Indonesia has not been effective because the dissemination of public information is diverse and inconsistent. This is because the government gives freedom to various media to provide information to the public, which creates a gap in the management of COVID-19 in Indonesia and results in low public discipline and awareness (mean value 2,97). Therefore, it is difficult for the government to deal with and manage health emergencies caused by the COVID-19 pandemic. Research has shown that the government must provide the public with consistent and valid information (mean value 3,51), monitor and supervise mass and electronic media, and use social media and online media to provide valid information from the government and disseminate positive and educative information to the public (mean value 4,06).
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Syamsudin, Syamsudin, Erna Setiany, and Sajidah Sajidah. "Gender diversity and firm value: a study on boards of public manufacturing firms in Indonesia." Problems and Perspectives in Management 15, no. 3 (November 8, 2017): 276–84. http://dx.doi.org/10.21511/ppm.15(3-1).2017.11.
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This study aims to analyze the effect of gender diversity in both the Board of Commissioners and Board of Directors, as well as the effect of education background of the President Commissioner on the firm value. Gender diversity is measured from the proportion of women in Board of Commissioners and Board of Directors, while the education background is measured by the education background of the President Commissioner. In this research, the firm value is measured by Tobins Q. The sample used in this study consist of 70 manufacturing companies listed in Indonesian Stock Exchange in the year 2012. This study employs multiple linear regression to draw the research results. The analysis results show that gender diversity in both the Board of Commissioners and Board of Directors significantly affects firm value. On the contrary, the education background of the President Commissioner does not affect firm value. This result support the argument that diversity of boards will, through various ways, affect firm financial value in the long and short term.
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Sytnyk, Hanna, Iryna Vysochyn, Tetiana Zhuk, Inna Olesenko, and Viktoriia Stratiichuk. "Enterprise value management based on the stakeholder approach." Problems and Perspectives in Management 19, no. 3 (September 20, 2021): 356–72. http://dx.doi.org/10.21511/ppm.19(3).2021.29.
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The need to ensure the growth of enterprise value in the context of strengthening intangible factors’ role in its formation and maintaining sustainable development of society requires the introduction of new value-oriented management models, taking into account the interests of a wide range of stakeholders.The paper aimed to develop an approach to enterprise value management based on the stakeholder approach. Based on the presented conceptual vision of the enterprise as an SRPR system (stakeholders-resources-processes-results), a two-level system of SRPR value indicators for the main stakeholder groups has been developed, as well as an integral indicator of sustainable economic value added (EVA), which allows assessing the potential growth of enterprise value through a sustainable network of stakeholders. The possibility of using SRPR indicators in the process of planning activities has been substantiated: a model for maximizing EVA is formulated subject to a number of restrictions reflecting the standards of relationships with stakeholders, its transformation into a matrix of SRPR indicators.The results of approbation of the proposed approach by questioning processing and wholesale trade enterprises in the B2B segment are presented, confirming the compliance of the proposed system of indicators with the interests of stakeholders and implementation at Europroject Ukraine LLC, which proved its practical value.The need for further empirical studies of the dependence of EVA on changes in indicators of satisfaction of stakeholders’ interests is emphasized.
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Brilhante, Dialina, António Robalo Nunes, Cândida Fonseca, João Mairos, Jorge Félix, Mafalda Gonçalves, Melina Mota, et al. "OP85 Value To Society Of A Nationwide Patient Blood Management Program." International Journal of Technology Assessment in Health Care 33, S1 (2017): 38–39. http://dx.doi.org/10.1017/s0266462317001611.
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INTRODUCTION:Patient Blood Management (PBM) describes a multidisciplinary approach that strives to optimize patients own blood and has been reported to reduce blood components utilization while achieving improved patient outcomes and reduced healthcare costs. The aim of this study was to evaluate the public health and economic impact related to the implementation of a nationwide PBM program in Portugal.METHODS:A decision-model comparing two scenarios (“current clinical practice” and “with PBM implementation”) was used to estimate the PBM impact including hospital-assisted patients from the following therapeutic areas: surgery (orthopaedic, cardiac and urologic), cardiology, oncology, gastrointestinal bleeding, abnormal uterine bleeding, hemodialysis, inflammatory bowel disease and pregnancy. Model inputs were obtained from Portuguese national health databases and literature review. The public health impact was measured in life years (LY) gained, disability-adjusted life years (DALY) reduction, hospital length of stay (LOS) and 30-day readmission rate reduction. The economic value was expressed in total and hospitalization costs savings.RESULTS:A total of 384,704 patients were eligible for PBM strategies. We estimated that a one year nationwide PBM implementation could avoid 594 premature deaths, representing a gain of 1,481 LY and a reduction of 3,660 DALYs relative to the current paradigm. An 8.4 percent and 37.3 percent reduction in length of stay and 30-day readmission rate are expected, respectively. This corresponds to EUR70.4 million savings in hospitalization costs. Although PBM closer monitoring would imply additional physician visits and medicines use, leading to EUR24.1 million in additional expenditure, in this population the overall PBM implementation can generate net savings of more than EUR67.7 million per year (6.3 percent reduction of public expenditure).CONCLUSIONS:The implementation of a nationwide PBM in Portugal may represent a great public health impact, especially in decreased mortality and disability, with substantial public expenditure reduction.
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Pererva, Petro, Tetiana Kobielieva, Nаdеzhdа Tkасhovа, Maxim Tkachov, and Tetiana Diachenko. "Management of relations with enterprise stakeholders based on value approach." Problems and Perspectives in Management 19, no. 1 (January 20, 2021): 24–38. http://dx.doi.org/10.21511/ppm.19(1).2021.03.
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Significant transformations in economic relations and increased competition have posed enterprises with extremely complex tasks in the field of corporate governance. Mainly it concerns the systems of corporate governance, in which the principles of vertical organization are losing relevance, and the effectiveness of management largely depends on the balance of interests of participants (stakeholders) who can actively influence the production and commercial policy of the enterprise to distribute its resources in their favor.The study aims to develop proposals to ensure the effective interaction of the enterprise with stakeholders, based on establishing an optimal balance of material (value) interests, allowing achieving a reduction of risks that threaten the development of the enterprise.Thus, it was proposed to determine the total value of the commercial results of the enterprise, taking into account the real contribution, which is provided by the relations with one or another stakeholder. A similar approach is implemented to determine the share of the value of the corresponding stakeholder, which is ensured by its relationship with this enterprise. In addition to the value of the enterprise itself, the proposed models explicitly determine the value benefits of stakeholders and disclose a list of the main controlling factors: the volumes of resources supplied and consumed by the parties, their relative values, the structure of resource flows, etc.As an example, using the developed recommendations, the circle of the most influential stakeholders of the Ukrainian enterprise – PJSC KhTP – was studied. This approach allows an industrial enterprise to rank stakeholders by value, to analyze the dynamics of the structure and parameters of material and financial resources flows of the enterprise and its stakeholders.
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Homberg, Fabian, and Rick Vogel. "Human resource management (HRM) and public service motivation (PSM)." International Journal of Manpower 37, no. 5 (August 1, 2016): 746–63. http://dx.doi.org/10.1108/ijm-05-2016-0120.
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Purpose – The purpose of this paper is to provide an introduction to the special issue on public service motivation (PSM) and human resource management (HRM). The authors analyse and review how the literatures on HRM and PSM relate to each other. Design/methodology/approach – The paper combines two complementary studies: a bibliometric analysis of the interrelationships between the two literatures and a meta-analysis of the impact of HR practices on PSM. Findings – Although HRM is among the core subject categories to which the literature on PSM refers, the pre-eminence of HR topics self-reported by PSM researchers indicates large room for further transfer. Intrinsic HR practices show positive and significant effects on PSM, while no such association was found for extrinsic HR practices. Originality/value – The editorial is a complement to a recent bibliometric review of PSM research, focusing more particularly on the interrelationships with HRM and applying hitherto unused techniques. It is also the first meta-analysis of the association between HR practices and PSM.
Dissertations / Theses on the topic "Public Value Management (PVM)"
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Mugaju, James. "Health Care Services for Child Survival and Performance-Based Management in Three Kosovo Municipalities." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5910.
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After the Republic of Kosovo's declaration of independence in 2008, new municipal structures were created with the charge of monitoring the delivery of health care services; yet, no mechanism for monitoring performance was ever implemented. With the public value theory as the foundation, the purpose of this multiple case study of 3 Kosovo municipalities was to understand issues surrounding the capacity of local government health department to monitor their performance related to the delivery of services. Relevant data were collected through focus-group discussions with 10 nurses, 9 directors of family medicine centers, and 12 municipal program managers. Purposeful semistructured interviews were conducted with 3 elected officials, 3 leaders of health care services, 3 policy leaders of relevant central-level ministries, and 9 participants from the national coalition of civil society organizations. All data were transcribed and coded per thematic analysis procedures. Results indicated that integrating the threefold value system of business value, social value, and governance value into municipal work plans and policy considerations will likely create a more solution-oriented service delivery at the municipal level. Furthermore, service delivery in the 3 municipalities appears to have improved over the past 5 years because of the pressure from active citizens, increased community engagement, and the institutionalization of home visits. Positive social change implications stemming from this study include the recommendation to central and local policy makers to fully integrate performance-based reporting systems into local legislation and policies. Such efforts can result in sustainable, equitable, and inclusive development, leading to stability and prosperity in Kosovo.
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Hobbs, Michael J., and mikewood@deakin edu au. "The management of SPMD based parallel processing on clusters of workstations." Deakin University. School of Computing and Mathematics, 1998. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20051202.083729.
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Current attempts to manage parallel applications on Clusters of Workstations (COWs) have either generally followed the parallel execution environment approach or been extensions to existing network operating systems, both of which do not provide complete or satisfactory solutions. The efficient and transparent management of parallelism within the COW environment requires enhanced methods of process instantiation, mapping of parallel process to workstations, maintenance of process relationships, process communication facilities, and process coordination mechanisms.
The aim of this research is to synthesise, design, develop and experimentally study a system capable of efficiently and transparently managing SPMD parallelism on a COW. This system should both improve the performance of SPMD based parallel programs and relieve the programmer from the involvement into parallelism management in order to allow them to concentrate on application programming. It is also the aim of this research to show that such a system, to achieve these objectives, is best achieved by adding new special services and exploiting the existing services of a client/server and microkernel based distributed operating system. To achieve these goals the research methods of the experimental computer science should be employed.
In order to specify the scope of this project, this work investigated the issues related to parallel processing on COWs and surveyed a number of relevant systems including PVM, NOW and MOSIX. It was shown that although the MOSIX system provide a number of good services related to parallelism management, none of the system forms a complete solution. The problems identified with these systems include: instantiation services that are not suited to parallel processing; duplication of services between the parallelism management environment and the operating system; and poor levels of transparency.
A high performance and transparent system capable of managing the execution of SPMD parallel applications was synthesised and the specific services of process instantiation, process mapping and process interaction detailed. The process instantiation service designed here provides the capability to instantiate parallel processes using either creation or duplication methods and also supports multiple and group based instantiation which is specifically design for SPMD parallel processing. The process mapping service provides the combination of process allocation and dynamic load balancing to ensure the load of a COW remains balanced not only at the time a parallel program is initialised but also during the execution of the program. The process interaction service guarantees to maintain transparently process relationships, communications and coordination services between parallel processes regardless of their location within the COW. The combination of these services provides an original architecture and organisation of a system that is capable of fully managing the execution of SPMD parallel applications on a COW.
A logical design of a parallelism management system was developed derived from the synthesised system and was shown that it should ideally be based on a distributed operating system employing the client server model. The client/server based distributed operating system provides the level of transparency, modularity and flexibility necessary for a complete parallelism management system. The services identified in the synthesised system have been mapped to a set of server processes including: Process Instantiation Server providing advanced multiple and group based process creation and duplication; Process Mapping Server combining load collection, process allocation and dynamic load balancing services; and Process Interaction Server providing transparent interprocess communication and coordination. A Process Migration Server was also identified as vital to support both the instantiation and mapping servers.
The RHODOS client/server and microkernel based distributed operating system was selected to carry out research into the detailed design and to be used for the implementation this parallelism management system. RHODOS was enhanced to provide the required servers and resulted in the development of the REX Manager, Global Scheduler and Process Migration Manager to provide the services of process instantiation, mapping and migration, respectively. The process interaction services
were already provided within RHODOS and only required some extensions to the existing Process Manager and IPC Managers.
Through a variety of experiments it was shown that when this system was used to support the execution of SPMD parallel applications the overall execution times were improved, especially when multiple and group based instantiation services are employed. The RHODOS PMS was also shown to greatly reduce the programming burden experienced by users when writing SPMD parallel applications by providing a small set of powerful primitives specially designed to support parallel processing. The system was also shown to be applicable and has been used in a variety of other research areas such as Distributed Shared Memory, Parallelising Compilers and assisting the port of PVM to the RHODOS system.
The RHODOS Parallelism Management System (PMS) provides a unique and creative solution to the problem of transparently and efficiently controlling the execution of SPMD parallel applications on COWs. Combining advanced services such as multiple and group based process creation and duplication; combined process allocation and dynamic load balancing; and complete COW wide transparency produces a totally new system that addresses many of the problems not addressed in other systems.
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Blanes, Ramona. "Smart policy for public value : strategic management in public sector reform." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8311/.
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This thesis explored the public value (PV) concept as strategic management to (re)introduce the concept of social responsibility and ethics within the public sector. Public sector governance relied on the assumption that the specific attributes of the various public sector governance approaches influenced public managers’ actions and decisions. The attributes of the management approach became more aligned with the PV concept as it moved along a public sector reform (PSR) continuum. To compare and contrast the PV concept in the various cultures and institutional settings through the lens of Intelligent Transportation Systems (ITS)-related policies and programmes, three countries at the different stages of PSR were chosen. The results showed there were varying degrees of PSR acceptance and compliance at the various government levels. Thus, more than one dominant PSR model existed simultaneously in a country. The extent to which the changes were accepted and complied with depended on several dynamics. Additionally, the results discovered that the PV concept influenced public managers’ practices despite the governance traditions. This discovery validated the fact that a country did not have to be at the most sophisticated PSR stage to strategise using the PV concept. Finally, the results supported the view that ITS enabled easy and continuous data collection for the public managers. This ease of data collection advanced the process of knowledge exchange to co-create/co-produce or share PV with the public. The knowledge collaboration and sharing could lead to innovation, sustainability and the perception of value by the public.
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Mbesi, Mwiga Wiljonsi. "Public financial watchdogs, new public management and value for money in Tanzania." Doctoral thesis, [s.n.], 2015. http://hdl.handle.net/10284/5080.
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Tese apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Doutor em Ciências Sociais, especialidade em Serviço SocialApesar da visibilidade crescente da Nova Administração Pública (NAP) e das agências reguladoras, permanecem por responder algumas interrogações cruciais sobre como respeitar os padrões adequados de ―Value for Money‖ (VFM) na utilização de recursos públicos. Esta tese pretende explorar o impacto das agências reguladoras na problemática da ―accountability‖ e da gestão de recursos públicos através de uma análise critica das instituições de auditoria na prossecução de VFM de acordo com a teoria da NAP. A tese envereda, ainda, por uma análise crítica da posição dos cidadãos no contexto da atividade desempenhada pelas agências reguladoras. O contexto tanzaniano foi abordado através de uma estratégia de investigação qualitativa, comênfase nas entrevistas, questionários e análise documental, com o propósito de testar a validade das perguntas de partida. Os resultados revelaram que a Tanzânia adotou o modelo de NPA e criou, nessa conformidade, várias agências reguladoras. Todavia, tratou-se da adoção parcial do modelo de NAP. Apesar das reformas empreendidas, tem-se notado o crescimento de fraude, de irregularidades várias, de corrupção e uma utilização ineficiente de recursos públicos. Constatou-se que a adoção da NAP e a criação de agências reguladoras não contribuíram para o aumento do poder das entidades de supervisão financeira do setor público nem para o aumento dos padrões de ―accountability‖. Um fator com peso que diminui o alcance de VFM é o elevado nível de dependência política das entidades responsáveis pela provisão de serviços públicos. Os resultados revelaram ainda que as entidades de supervisão financeira do setor público têm muita utilidade para assegurar VFM na utilização de recursos públicos. No entanto, as instituições de auditoria tanzanianas confrontam-se com vários desafios que dificultam a execução cabal dos seus deveres profissionais. Estas entidades encontram-se divididas entre acautelar interesses políticos e interesses dos cidadãos. Por exemplo, os dirigentes das instituições de supervisão financeira na Tanzânia são nomeados pelo governo e dele dependem em larga medida,o que coloca em risco a sua independência política. O modelo das agências reguladoras tanzanianas inclui consultores financeiros com ligações ao governo e não verdadeiras instituições de supervisão financeira do setor público. Apesar do Controllerand Auditor Generaldispor de um mandato constitucional para auditar o setor público, não dispõe de poderes de verificação das suas recomendações. A tese considera, por conseguinte, que as entidades de supervisão financeira do setor público tanzaniano têm poderes limitados. Não obstante a Constituição exigir que o governo seja ―accountable‖ junto dos cidadãos e que haja abertura à intervenção dos cidadãos na gestão dos assuntos públicos, o modelo das agências reguladoras da Tanzânia, assim como o seu enquadramento legal e o sistema de ―accountability‖, ignoram a intervenção dos cidadãos.
Despite the increased visibility of the adoption of New Public Management (NPM) and agencification, the key questions regarding the achievement of Value for Money (VFM) in the utilization of public resources remain unanswered. This dissertation intended to produce evidence on the impact of agencification on accountability and management of public resources. It critically analyzes the usefulness of Supreme Audit Institutions (SAIs) in assuring VFM in the utilization of public resources according to the NPM doctrine. It also provides a critical analysis of the position of the public in the agencification framework. Qualitative research strategy was used to analyze the Tanzanian framework, and in particular in-depth interviews, questionnaires, and documentary analysis, to confirm the initial research assumptions. Findings revealed that Tanzania has embraced NPM and agencification. However, the country has partially implemented the NPM doctrine. Despite the reforms, fraud, irregularities, corruption, and inefficient use of resources are growing. NPM and agencification have not largely improved public watchdogs‘ power in addressing accountability issues. One major factor that hinders the achievement of VFM is that the service delivery machinery has been highly politicized and becomes part of the political system. Findings reveal that public financial watchdogs are exceptionally useful in assuring VFM in the utilization of public resources. However, Tanzania‘s SAI is facing a number of challenges that resulted in the unsuccessful execution of professional duties. Watchdog institutions are facing the risk of balancing political interests and the interests of the public. For instance, the heads of Tanzania‘s public financial watchdog institutions are appointed and largely obey to the government and not to the public. This puts in jeopardy their expected independence status. Thus, Tanzania‘s agencification and accountability framework comprises ―government financial consultants‖ and not ―public financial watchdog institutions‖. Although the Controller and Auditor General (CAG) is constitutionally mandated to audit the public sector, it is not mandated to follow-up and to enforce audit recommendations. This dissertation considers Tanzania‘s public watchdog institutions as toothless public financial watchdog institutions. Regardless that the Constitution requires the government to be accountable to the people and to be open to the people‘s participation in public affairs, Tanzania‘s agencification, legal and accountability frameworks ignore the involvement of the public.
Malgré l'augmentation de la visibilité de l'adoption de la Nouvelle Gestion Publique (NGP) et des agences de régulations, les questions clés concernant le respect des standards de « Value for Money » (VFM) dans l'utilisation des ressources publiques restent sans réponse. L‘objectif de cette thèse est d‘analyser l'impact des agences de régulation sur la problématique de l‘«accountability» et de la gestion des ressources publiques à travers une analyse critique de l'utilité des Institutions de Surveillance pour assurer une VFM dans l'utilisation des ressources publiques en suivant la doctrine de la NGP. La thèse présente aussi une analyse critique de la position du public face aux activités effectuées par les agences de régulation. La recherche qualitative a été utilisée comme stratégie pour analyser le contexte de la Tanzanie, et en particulier les interviews approfondies, les questionnaires et l'analyse documentaire, pour confirmer les hypothèses initiales de recherche. Les résultats ont révélé que la Tanzanie a adopté la NGP et l‘agencement. Cependant, il ne s‘agit que d‘une mise en oeuvre partielle du modèle de NGP. Malgré les réformes, la fraude, les irrégularités, la corruption, et l'utilisation inefficace des ressources augmentent de plus en plus. L‘adoption de la NGP et la création des agences de régulation n‘ont pas amélioré le pouvoir des institutions publiques de surveillance ni traité les problématiques liées à l‘«accountability». Un facteur important qui entrave la réalisation de NGP est le fait que le mécanisme de prestation de services a été très politisé et devient partie intégrante du système politique. Les résultats révèlent que des garde-fous dans la gestion des finances publiques sont particulièrement utiles pour assurer une NGP dans l'utilisation des ressources publiques. Cependant, les institutions tanzaniennes de surveillance sont confrontées à des défis qui ont abouti à une exécution sans succès de ses devoirs professionnels. Elles sont partagées entre les intérêts politiques et les intérêts publics. A titre d‘exemple, en Tanzanie, les chefs des institutions financières publiques de surveillance n‘obéissent pas aux intérêts publics mais plutôt au gouvernement qui les nomme. Ceci met en péril leur statut d'indépendance présumée. Ainsi, le modèle tanzanien des agences de régulations et de «accountability» inclut les «consultants financiers du gouvernement» mais pas les «institutions de contrôle des finances publiques ». Bien que la Constitution donne mandat à la «Cours des Comptes» pour auditer le secteur public, cette dernière ne dispose pas de pouvoir pour suivre et appliquer les recommandations des audits. Cette thèse considère les institutions publiques de vigilance de la Tanzanie disposent des pouvoirs assez limités. En dépit du fait que la Constitution oblige le gouvernement à rendre compte à la population et lui ouvrir une participation à la gestion des affaires publiques, le cadre juridique des agences de régulation et de l‘«accountability» en Tanzanie ignore complétement la participation des citoyens.
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Thomson, Kerstin. "Styrning och samhällsvärde : en studie med exempel från museivärlden." Doctoral thesis, Stockholms universitet, Företagsekonomiska institutionen, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-145438.
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In light of growing criticism towards New Public Management and its effects, interest has been directed at alternative management control concepts in the public sector. Whether Public Value Management is an alternative, possibly even a new paradigm, is being discussed on the research front. New Public Management and Public Value Management have evolved in parallel during the past decades. However, New Public Management has had greater impact, not least in governments’ control of state agencies. The aim of the thesis is to gain an understanding of how ideas about the creation of public value diverge between New Public Management and Public Value Management. Beyond the research question of whether management control meets the demands of efficiency and customer-orientation as addressed in previous studies on reforms influenced by New Public Management, this thesis deals with the issue of creating value for the benefit of society. In a qualitative approach, the research is based on interpretations of documents, observations and interviews with examples from state agencies in the museum sector. The result of the study shows that differences between New Public Management and Public Value Management are expressed in notions of accountability, results and proficiency. The time perspective differs, as do the means of financing and involvement of stakeholders. Reforms in line with Public Value Management call for the involvement or consideration of a larger circle of stakeholders, including future generations. The findings of the thesis suggest that the diverging perceptions of value creation does not rule out that elements from both concepts can be combined and complement each other. The main issue is to take into account the contribution made to public value, considering whether the mandate is a long-term government assignment in line with Public Value Management or if it involves activities well suited to New Public Management with prerequisites for market orientation. The dissertation contributes to research in the field of management control in the public sector and the issue of public value.
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Hunter, Kirsty M. "The application of value management to the public service sector with a view to best value." Thesis, Glasgow Caledonian University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.426430.
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Cassop, Thompson Michael. "Customers' value seeking practices in public sector health and fitness clubs." Thesis, University of Sunderland, 2012. http://sure.sunderland.ac.uk/3289/.
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This thesis is concerned with how customers seek value in public health and fitness clubs. Although the study of value takes many discursive avenues, value as practices are investigated in the present research. To establish the value seeking practices of public health and fitness club customers, data was collected via an ethnographic study. This involved the researcher attempting to view the practices of the public health and fitness club customers through their lens. Therefore, the researcher immersed himself in the study context for a period of five months as a participant observer. In addition, twenty in depth interviews with public health and fitness club customers where conducted. This combination of methods provided rich and detailed data for analysis. The data was viewed from an interpretive perspective and was subsequently coded using open, axial, and selective coding principles. The findings led to the identification of three key themes: practices concerning customers joining and committing to the health club, practices relating to the facilitation of customers performances within the health club, and the customers own visible performance practices. Within each broad theme, many sub-practices are identified and explained. The empirical data suggests that customers seek particular practices that give them value however these do not always match the provider’s requirements. It is further suggested that disjuncture’s between the customers and the providers practice could be viewed as the customer proposing practice for service development. Overall, the thesis extends existing research by providing new insights into customer’s value seeking practices in public sector health and fitness clubs and proposes a new model of value practice as a means of service development.
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Ko, Jaekwon. "Values Public Managers Hold, Organizational Environments, and Public Service Characteristics in Explaining the Choice of Public Service Delivery Modes: Focused on County and City Governments in Virginia." Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/19330.
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Over the past several decades, local governments have provided public services through a dynamic process including direct public delivery and market contracts. These public service delivery modes have been influenced by the dominant paradigms in contemporary public administration such as New Public Management (NPM) and Public Value Management (PVM). This study aims to examine factors influential in choosing public service delivery modes in local governments. Influential factors are divided into three main categories. The first category is public values as perceived by public managers. The second category is related to organizational environments. The third category is associated with characteristics of public services. This study focuses on public service delivery in County and City governments in Virginia. In order to test hypotheses, I use two sets of data: a survey and the U.S. Census. First, the survey measures public values, organizational environments, and public service characteristics. The survey population consists of 95 Counties and 39 Independent Cities in Virginia. The total number of County Administrators and City Managers who responded to the survey was 70. Second, the U.S. Census provides demographic information. In analyzing data to address research questions, I use descriptive analysis and a binary logistical regression model. Findings indicate that the more County Administrators and City Managers perceive the importance of efficiency and customer orientation values from New Public Management in determining public service delivery modes, the more local governments choose contracting out. In contrast, the more County Administrators and City Managers perceive the importance of fairness, political accountability, and employee safety values from Public Value Management in determining public service delivery modes, the more local governments choose delivery by public.Ph. D.
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Alalshikh, Mohammed A. S. "The development of a value management approach for the Saudi public sector." Thesis, University of Leeds, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.530849.
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Barnes, Everton Dean. "Value-based management : public water utilities, a financial consideration / Everton Dean Barnes." Thesis, North-West University, 2009. http://hdl.handle.net/10394/4332.
Full textBooks on the topic "Public Value Management (PVM)"
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Creating public value: Strategic management in government. Cambridge, Mass: Harvard University Press, 1995.
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Bone, Clive. Value management in the public sector through value analysis and BPR. Harlow: Longman, 1993.
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Managing value for money in the public sector. London: Chapman & Hall, 1993.
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Chojik pyŏnhwa wa konggong kach'i: Public value management. Kyŏnggi-do Kwach'ŏn-si: Chungang Kongmuwŏn Kyoyugwŏn Pyŏnhwa Hyŏksin Lidŏsip Sent'ŏ, 2008.
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Connolly, John, and Arno van der Zwet, eds. Public Value Management, Governance and Reform in Britain. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-55586-3.
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Diefenbach, Fabian E. Entrepreneurship in the Public Sector: When Middle Managers Create Public Value. Wiesbaden: Gabler Verlag / Springer Fachmedien Wiesbaden GmbH, Wiesbaden, 2011.
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J, Davies Adam, ed. Value management: Translating aspirations into performance. Farnham, Surrey: Gower, 2011.
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Robert, Palmer D., ed. Value for money in the public sector: The decision maker's guide. Oxford [Oxfordshire]: B. Blackwell, 1985.
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Value-added public relations: The secret weapon of integrated marketing. Lincolnwood (Chicago) Ill., U.S.A: NTC Business Books, 1998.
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W, Young David, ed. Managing local governments: Designing management control systems that deliver value. New York: Routledge, 2012.
Find full textBook chapters on the topic "Public Value Management (PVM)"
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Chohan, Usman W. "Public Value Conflict." In Pandemics and Public Value Management, 24–54. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003223139-2.
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Wensley, Robin, and Mark H. Moore. "Choice and Marketing in Public Management: The Creation of Public Value?" In Public Value, 127–43. London: Macmillan Education UK, 2011. http://dx.doi.org/10.1007/978-0-230-36431-8_7.
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Norman, Richard. "Redefining ‘Public Value’ in New Zealand’s Performance Management System: Managing for Outcomes while Accounting for Outputs." In Public Value, 202–11. London: Macmillan Education UK, 2011. http://dx.doi.org/10.1007/978-0-230-36431-8_12.
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Dong, Lisheng. "Public Value Management: Integration of Value and Instrumental Rationalities." In Public Administration Theories, 225–48. New York: Palgrave Macmillan US, 2015. http://dx.doi.org/10.1057/9781137536426_10.
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Chohan, Usman W. "Conclusion." In Pandemics and Public Value Management, 143–56. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003223139-7.
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Chohan, Usman W. "Comparative Public Value in Developing Countries." In Pandemics and Public Value Management, 117–42. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003223139-6.
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Chohan, Usman W. "Introduction." In Pandemics and Public Value Management, 1–23. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003223139-1.
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Chohan, Usman W. "Infodemics and Pandemics." In Pandemics and Public Value Management, 55–74. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003223139-3.
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Chohan, Usman W. "The World Health Organization (WHO)." In Pandemics and Public Value Management, 75–99. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003223139-4.
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Chohan, Usman W. "Coronavirus and Vaccine Nationalism." In Pandemics and Public Value Management, 100–116. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003223139-5.
Full textConference papers on the topic "Public Value Management (PVM)"
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Jaramillo, Juan Fernando Garlindo, Antonio Carlos Zambon, and Pedro Fernandes de Anunciação. "Identification of stakeholders for public value detection in public sector initiatives." In 13th CONTECSI International Conference on Information Systems and Technology Management. TECSI, 2016. http://dx.doi.org/10.5748/9788599693124-13contecsi/rf-3975.
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Santana, Jose Eduardo, and Rodolfo Miranda de Barros. "Risk Management: Information Technology and Public Value Delivery." In 2022 41st International Conference of the Chilean Computer Science Society (SCCC). IEEE, 2022. http://dx.doi.org/10.1109/sccc57464.2022.10000394.
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Ryan, R., and R. R. Brown. "Value of Public Participation: Policy for Stormwater Quality for the Watershed." In Watershed Management and Operations Management Conferences 2000. Reston, VA: American Society of Civil Engineers, 2001. http://dx.doi.org/10.1061/40499(2000)62.
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Tsagdi, Georgia. "The Value of the Public Sector Governance." In 12th International Conference on Modern Research in Management, Economics and Accounting. Acavent, 2021. http://dx.doi.org/10.33422/12th.meaconf.2021.05.277.
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Zhu, Jianding. "The Theory of the Value Orientation and Implementation Path of Social Governance." In 2016 International Conference on Public Management. Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/icpm-16.2016.61.
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Cui, Maochong. "Reflection on Research into the Value Orientation of Public Management." In Public Administration in The Time of Regional Change. Paris, France: Atlantis Press, 2013. http://dx.doi.org/10.2991/icpm.2013.5.
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Yang, Fan. "Research on Value Assessment of Wechat Public Number Transaction." In Proceedings of The First International Symposium on Management and Social Sciences (ISMSS 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/ismss-19.2019.40.
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Perez, Sebastian, Jorge Cabrera, Jose Rodriguez, and Carlos Raymundo. "E-Government Adoption Model Extended with Public Value in Peru." In 2019 8th International Conference on Industrial Technology and Management (ICITM). IEEE, 2019. http://dx.doi.org/10.1109/icitm.2019.8710646.
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Zhang, Sui, and Ladi Wang. "A Public Value Approach to Service Management in Public Hospitals: An Alternative to the Balanced Scorecard." In 2010 International Conference on Management and Service Science (MASS 2010). IEEE, 2010. http://dx.doi.org/10.1109/icmss.2010.5577188.
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Shen, Si, and Xiuying He. "Public Library Service Value Assession in Xi�an by CVM." In 2014 International Conference on Education, Management and Computing Technology (ICEMCT-14). Paris, France: Atlantis Press, 2014. http://dx.doi.org/10.2991/icemct-14.2014.134.
Full textReports on the topic "Public Value Management (PVM)"
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Vasilenko, L. A. A culture of open governance: from the New Public Management paradigm to the Public Value Management paradigm. Sociology and society: social inequality and social justice (Yekaterinburg, October 19-21, 2016) [Electronic resource] Materials of the V All-Russian Sociological Congress, 2016. http://dx.doi.org/10.18411/vasilenko-3-9.
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Vasilenko, L. A. Public value management and the digital state - significant trends in the development of public administration. Public administration and development of Russia: challenges and opportunities. Collection of articles of the international conference session. Volume 1, 2018. http://dx.doi.org/10.18411/vasilenko-3-13.
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Lavy, Victor, and Adi Boiko. Management Quality in Public Education: Superintendent Value-Added, Student Outcomes and Mechanisms. Cambridge, MA: National Bureau of Economic Research, November 2017. http://dx.doi.org/10.3386/w24028.
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Villa Zárate, Javier, Daniel Vieitez Martínez, Carlos Mondragón, Miguel Á. Martínez, and Jaime Pérez. Selection Criteria for PPP Projects: Determinants of Value Generation in the Use of Public Resources (Value for Money). Inter-American Development Bank, September 2021. http://dx.doi.org/10.18235/0003615.
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The Discussion Papers PPP Americas 2021 are a series of documents written to prepare for PPP Americas tenth edition. The event is the most important forum on Public-Private Partnerships (PPP) of Latin America and the Caribbean (LAC), organized every two years by the Inter-American Development Bank (IDB). Driven by PPP Americas 2021, we gathered eight thematic groups were, with specialists, professionals, consultants, and scholars engaged directly in the preparation, identification, structuration, and management of PPP infrastructure projects in countries of the region. IDB specialists coordinated the groups to review the main hot topics on PPP projects for social and economic infrastructure, aiming to exchange experiences, debate successful cases and lessons learned. The present Discussion Paper, “Selection Criteria for PPP Projects,” collects the main conclusions and recommendations discussed by the group and intends to consolidate a knowledge exchange environment in infrastructure and PPP inside the region, offering best practices on infrastructure projects selection and value generation in the use of public resources in Latin America and the Caribbean.
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Lemos, Renata, Karthik Muralidharan, and Daniela Scur. Personnel Management and School Productivity: Evidence from India. Research on Improving Systems of Education (RISE), February 2021. http://dx.doi.org/10.35489/bsg-rise-wp_2021/063.
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This paper uses new data to study school management and productivity in India. We report four main results. First, management quality in public schools is low, and ~2σ below high-income countries with comparable data. Second, private schools have higher management quality, driven by much stronger people management. Third, people management quality is correlated with both independent measures of teaching practice, as well as school productivity measured by student value added. Fourth, private school teacher pay is positively correlated with teacher effectiveness, and better managed private schools are more likely to retain more effective teachers. Neither pattern is seen in public schools.
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Cristia, Julian P., and Razvan Vlaicu. Digitalizing Public Services: Opportunities for Latin America and the Caribbean. Inter-American Development Bank, November 2022. http://dx.doi.org/10.18235/0004543.
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The COVID-19 pandemic has sped up digital transformation and brought within reach the possibility of dramatic improvements in public services for millions across Latin America and the Caribbean. There is large variation in value added between different technology-based projects, and governments should leverage the available evidence to prioritize project designs that yield the greatest possible social value. This report seeks to serve as a source of inspiration, offering clear and concrete examples of easily implementable interventions in education, health, transactional services, and fiscal management with the potential to help build more inclusive and developed societies.
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Rojas Smith, Lucia, Megan L. Clayton, Carol Woodell, and Carol Mansfield. The Role of Patient Navigators in Improving Caregiver Management of Childhood Asthma. RTI Press, April 2017. http://dx.doi.org/10.3768/rtipress.2017.rr.0030.1704.
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Childhood asthma is a significant public health problem in the United States. Barriers to effective asthma management in children include the need for caregivers to identify and manage diverse environmental triggers and promote appropriate use of preventive asthma medications. Although health care providers may introduce asthma treatments and care plans, many providers lack the time and capacity to educate caregivers about asthma in an ongoing, sustained manner. To help address these complexities of asthma care, many providers and caregivers rely on patient navigators (defined as persons who provide patients with a particular set of services and who address barriers to care) (Dohan & Schrag, 2005). Despite growing interest in their value for chronic disease management, researchers and providers know little about how or what benefits patient navigators can provide to caregivers in managing asthma in children. To explore this issue, we conducted a mixed-method evaluation involving focus groups and a survey with caregivers of children with moderate-to-severe asthma who were enrolled in the Merck Childhood Asthma Network Initiative (MCAN). Findings suggest that patient navigators may support children’s asthma management by providing individualized treatment plans and hands-on practice, improving caregivers’ understanding of environmental triggers and their mitigation, and giving clear, accessible instructions for proper medication management. Study results may help to clarify and further develop the role of patient navigators for the effective management of asthma in children.
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Foster, Jessica. Survey of Legal Mechanisms Relating to Groundwater Along the Texas-Mexico Border. Edited by Gabriel Eckstein. Texas A&M University School of Law Program in Natural Resources Systems, April 2018. http://dx.doi.org/10.37419/eenrs.groundwateralongborder.
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The purpose of this study is to present a factual picture of the multiple groundwater governance frameworks that cover the same transboundary aquifers on the Texas-Mexico border. The study can then serve as a foundation to support future research and as a reference for those sharing groundwater resources on the border to use in considering whether and how to coordinate management. Currently, Texas A&M School of Law, the Bush School of Government and Public Service at Texas A&M University, and the Texas Water Resources Institute are collaboratively pursuing a larger interdisciplinary project, and the study presented in this report is part of that concerted endeavor. First, the project establishes a study area, then identifies who are the stakeholders in the area, and finally summarizes the various rules each entity applies to groundwater. The study area selected is based on the aquifers identified in the 2016 study noted above (see Figure 1). Although there is currently no formal agreement between governments or users in Mexico and Texas for managing the reservoirs that cross underneath the international border, this survey represents a preliminary step in addressing the larger problems that the absence of a cooperative groundwater management framework presents. All of the institutional approaches employed in the various jurisdictions surveyed here model features from which developing management approaches could draw. Equally, noting gaps in the institutional approaches themselves and the ad hoc groundwater withdrawals occurring outside the reach of those institutions illustrates potential value in engaging local users in Texas’ and Mexico’s respective groundwater governance arrangements.
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Perera, Duminda, Vladimir Smakhtin, Spencer Williams, Taylor North, and Allen Curry. Ageing Water Storage Infrastructure: An Emerging Global Risk. United Nations University Institute for Water, Environment and Health, January 2021. http://dx.doi.org/10.53328/qsyl1281.
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The Report provides an overview of the current state of knowledge on the ageing of large dams –an emerging global development issue as tens of thousands of existing large dams have reached or exceeded an “alert” age threshold of 50 years, and many others will soon approach 100 years. These aged structures incur rapidly rising maintenance needs and costs while simultaneously declining their effectiveness and posing potential threats to human safety and the environment. The Report analyzes large dam construction trends across major geographical regions and primary dam functions, such as water supply, irrigation, flood control, hydropower, and recreation. Analysis of existing global datasets indicates that despite plans in some regions and countries to build more water storage dams, particularly for hydropower generation, there will not be another “dam revolution” to match the scale of the high-intensity dam construction experienced in the early to middle, 20th century. At the same time, many of the large dams constructed then are aging, and hence we are already experiencing a “mass ageing” of water storage infrastructure. The Report further explores the emerging practice of decommissioning ageing dams, which can be removal or re-operation, to address issues of ensuring public safety, escalating maintenance costs, reservoir sedimentation, and restoration of a natural river ecosystem. Decommissioning becomes the option if economic and practical limitations prevent a dam from being upgraded or if its original use has become obsolete. The cost of dam removal is estimated to be an order of magnitude less than that of repairing. The Report also gives an overview of dam decommissioning’s socio-economic impacts, including those on local livelihoods, heritage, property value, recreation, and aesthetics. Notably, the nature of these impacts varies significantly between low- and high-income countries. The Report shows that while dam decommissioning is a relatively recent phenomenon, it is gaining pace in the USA and Europe, where many dams are older. However, it is primarily small dams that have been removed to date, and the decommissioning of large dams is still in its infancy, with only a few known cases in the last decade. A few case studies of ageing and decommissioned large dams illustrate the complexity and length of the process that is often necessary to orchestrate the dam removal safely. Even removing a small dam requires years (often decades), continuous expert and public involvement, and lengthy regulatory reviews. With the mass ageing of dams well underway, it is important to develop a framework of protocols that will guide and accelerate the process of dam removal. Overall, the Report aims to attract global attention to the creeping issue of ageing water storage infrastructure and stimulate international efforts to deal with this emerging water risk. This Report’s primary target audiences are governments and their partners responsible for planning and implementing water infrastructure development and management, emphasizing adaptat
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Rankin, Nicole, Deborah McGregor, Candice Donnelly, Bethany Van Dort, Richard De Abreu Lourenco, Anne Cust, and Emily Stone. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, October 2019. http://dx.doi.org/10.57022/clzt5093.
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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.