Abstract
Transparency and spending review are two key items in the public policies of most Western countries. Though they are constantly perceived as targets to be pursued, little evidence is found of an approach that may synergistically combine such two issues with a view to producing value. The T.R.E.E. project is an example of an integrated approach to the change management process that connects change to the production of value, as well as to training, organisation and communication.
Highlights
Transparency is more and more of a hot, relevant issue after the enactment of the new legislation under which public sector organisations are bound to disclose information to prevent corruption, the defeat of which is no longer left to criminal proceedings only
This paper proposes a conceptual framework for transparency and spending review – set in the context of healthcare
Inspired by a change management process proposed to some healthcare facilities in Campania (Southern Italy), this paper suggests a systemic change model, designed to promote synergisms between transparency and rational management and make them serve the ultimate purpose of producing value in healthcare
Summary
Transparency is more and more of a hot, relevant issue after the enactment of the new legislation under which public sector organisations are bound to disclose information to prevent corruption, the defeat of which is no longer left to criminal proceedings only. The outer parts of the body (visual organs, limbs, claws, toothed jaws and bodily defences) were the first to come out in the evolutionary process, as did the nervous system, which made new offensive and defensive behaviours possible: camouflaging, alarm calls to alert about impending danger, bright patterns and colours to look deceptively poisonous, use of faeces or dead animals as deceptive signs of a prey to confuse predators, or spraying ink to lead predators astray Such evolution has some points in common with the transition that organisations are going through in response to an increasing demand for transparency. All this reduces and slows down the public sector’s ability to benefit from transparency by adapting to it, so as to use it to increase the production of value for the public
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