Originality – The Busco et al.'s framework allows us to understand PME system changes by integrating the perspectives from Neo-Institutional Sociology, representing healthcare organisational responses to external institutional pressures, and Old-Institutional Economics, conceptualising PME system changes as an institutionalisation process.
Leotta, A. and Ruggeri, D. (2012), "Changes in Performance Measurement and Evaluation Systems as Institutional Processes: The Case of an Italian Teaching Hospital", Davila, A., Epstein, M.J. and Manzoni, J.-F. (Ed.) Performance Measurement and Management Control: Global Issues (Studies in Managerial and Financial Accounting, Vol. 25), Emerald Group Publishing Limited, Bingley, pp. 427-463. https://doi.org/10.1108/S1479-3512(2012)0000025019
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