The Emergence of the Indicative Societal Cost-Benefit Analysis A Case Study
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Abstract
In this article, we describe the emergence of a new Finance course in line with the concept of the Societal Cost-Benefit Analysis (SCBA). By means of an in-depth case study, we reconstruct the process of dissatisfaction and corresponding discussions among lecturers and students of the Master Integrated Care Design with regard to the learning aims and content of the Finance course, which is a study module of this master. During the period 2015-2021, the aims and content of this module were revised and remoulded several times in order to define a Finance course that was able to both sufficiently and creatively connect the domain of Integrated Care with that of Finance. In this process of reiterating revision both lectures and students played a crucial role. The ultimate result – the indicative Societal Cost-Benefit Analysis – was unexpected and unplanned, producing an outcome that surpassed the sum of its separate parts. In short, the process, as we describe in this case study, bears all the hallmarks of emergence. Moreover, the analysis shows how this process of emergence in combination with emergent leadership led to a practicable and encouraging outcome, which satisfied and committed all stakeholders, setting an example that is worth following.
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References
REFERENCES
Bäcklander, G. (2019). Doing complexity leadership theory: How agile coaches at Spotify practise enabling leadership. Creativity and Innovation Management, 28(1), 42–60.
Berggren, C., & Söderlund, J. (2011). Management education for practicing managers: Combining academic rigor with personal change and organizational action. Journal of Management Education, 35(3), 377–405.
Bonometti, P. (2012). Improving safety, quality and efficiency through the management of emerging processes: The TenarisDalmine experience. The Learning Organization. An International Journal 19(4), 299-310.
Boonstra, J., & Bennebroek Gravenhorst, K. M. (1998). Power dynamics and organizational change: A comparison of perspectives. European Journal of Work and Organizational Psychology, 7(2), 97–120.
Chaffin, B. C., & Gunderson, L. H. (2016). Emergence, institutionalization and renewal: rhythms of adaptive governance in complex social-ecological systems. Journal of Environmental Management, 165, 81–87.
Craps, M., Vermeesch, I., Dewulf, A., Sips, K., Termeer, K., & Bouwen, R. (2019). A relational approach to leadership for multi-actor governance. Administrative Sciences, 9(1), 1-11.
Dolan, S. L., García, S., Diegoli, S., & Auerbach, A. (2000). Organisational values as’ attractors of chaos’: An emerging cultural change to manage organisational complexity. UPF Economics Working Paper.
Feldman, M. S. (2000). Organizational routines as a source of continuous change. Organization Science, 11(6), 611–629.
Hazy, J. K., Goldstein, J., & Lichtenstein, B. B. (2007). Complex systems leadership theory: New perspectives from complexity science on social and organizational effectiveness. ISCE Pub.
Hazy, J. K., & Uhl-Bien, M. (2013). Changing the rules: The implications of complexity science for leadership research and practice. The Oxford Handbook of Leadership and Organizations.
Hoeymans, N., & Polder, J. (2015). MKBA, maatschappelijke kosten baten analyses voor een betere zorg en meer welzijn. Tijdschrift Voor Gezondheidswetenschappen, 5(93), 159.
Horvat, A., & Filipovic, J. (2018). Service quality and maturity of health care organizations through the lens of Complexity Leadership Theory. Journal of Evaluation in Clinical Practice, 24(1), 301–307.
Imholte, P. D., Blanton, J. E., & McAlarnen, M. M. (2019). Fun, failure, and fulfillment: A case-study approach to informal athlete leadership in minor league baseball. The Sport Psychologist, 33(3), 177–188.
Jäppinen, A.-K., & Sarja, A. (2011). Distributed pedagogical leadership and generative dialogue in educational nodes. Management in Education, 26(2), 64–72.
Kondakci, Y., & Van den Broeck, H. (2009). Institutional imperatives versus emergent dynamics: A case study on continuous change in higher education. Higher Education, 58(4), 439–464.
Koopmans, C., Heyma, A., Hof, B., Imandt, M., Kok, L., & Pomp, M. (2016). Werkwijzer voor kosten-batenanalyse in het sociale domein: Hoofdrapport. AmsterdamSEO Economisch Onderzoek.
Lichtenstein, B. B., & Plowman, D. A. (2009). The leadership of emergence: A complex systems leadership theory of emergence at successive organizational levels. The Leadership Quarterly, 20(4), 617-630.
Lichtenstein, B. B., Uhl-Bien, M., Marion, R., Seers, A., Orton, J. D., & Schreiber, C. (2006). Complexity leadership theory: An interactive perspective on leading in complex adaptive systems. Emergence: Complexity & Organization, 8(4), 2-13.
MacIntosh, R., & MacLean, D. (1999). Conditioned emergence: A dissipative structures approach to transformation. Strategic Management Journal, 20(4), 297–316.
Plowman, D. A., Solansky, S., Beck, T. E., Baker, L., Kulkarni, M., & Travis, D. V. (2007). The role of leadership in emergent, self-organization. The Leadership Quarterly, 18(4), 341–356.
Pomp, M., Schoemaker, C. G., & Polder, J. J. (2014). Op weg naar maatschappelijke kosten-batenanalyses voor preventie en zorg: Themarapport Volksgezondheid Toekomst Verkenning 2014. Rijksinstituut voor Volksgezondheid en Milieu (RIVM).
Poutanen, P., Soliman, W., & Ståhle, P. (2016). The complexity of innovation: an assessment and review of the complexity perspective. European Journal of Innovation Management, 19(2), 189-213.
Roundy, P. T., Bradshaw, M., & Brockman, B. K. (2018). The emergence of entrepreneurial ecosystems: A complex adaptive systems approach. Journal of Business Research, 86, 1–10.
Saito, E., & Fatemi, G. (2022). Enabling students to become co-makers of emergent curricula through authentic and collaborative learning. Management in Education, 1–8.
Schoemaker, C., & Pomp, M. (2015). Naar MKBA’s voor preventie en zorg: vier suggesties. Tijdschrift Voor Gezondheidswetenschappen, 93(5), 160–161.
Streatfield, P. J. (2001). The Paradox of Control in Organizations. Routledge.
Uhl-Bien, M., & Marion, R. (2009). Complexity leadership in bureaucratic forms of organizing: A meso model. The Leadership Quarterly, 20(4), 631–650.
Uhl-Bien, M., Marion, R., & McKelvey, B. (2007). Complexity leadership theory: Shifting leadership from the industrial age to the knowledge era. The Leadership Quarterly, 18(4), 298–318.
Van Erp, W., & Schuitemaker, W. (2022). New perspectives on social cost-benefit analysis in health care and social welfare. International Journal of Integrated Care, 22(S3).
Van Kemenade, E. (2020). Emergence in TQM, a concept analysis. The TQM Journal, 32(1), 143–161.
Van Kemenade, E. (2021a). Emergent leadership and the Medusa principles. Journal of Research in Business Studies and Management, 8(2), 1–9.
Van Kemenade, E. (2021b). Emergent leadership and the Medusa principles. Journal of Research in Business Studies and Management, 8(2), 1–9. https://doi.org/10.22259/2394-5931.0802001
Wijnen, B. F. M., Van Gils, P. F., De Kinderen, R. J. A., & Evers, S. M. A. A. (2017). Tijd voor uniformiteit tussen maatschappelijke kosten-batenanalyses en economische evaluaties in de zorg. Tijdschrift Voor Gezondheidswetenschappen, 95(1), 15–17.
Woods, P. A. (2016). Authority, power and distributed leadership. Management in Education, 30(4), 155–160.
Yezdani, O., Sanzogni, L., & Poropat, A. (2015). Theory of emergence: introducing a model-centred approach to applied social science research. Prometheus, 33(3), 305–322.