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Afxentiadis, D E (2010) Interpreting a major event organization's efforts to reliably manage information security risks: the case of the Athens 2004 Olympics, Unpublished PhD Thesis, , London School of Economics and Political Science (University of London).

Al-Musleh, A M (2011) Development of a framework for total quality management principles in the construction companies with special reference to the construction companies in the state of Qatar, Unpublished PhD Thesis, School of Engineering and Material Sciences, Queen Mary, University of London.

Al-Sinan, M A (2004) TQM and the construction industry: Saudi Arabia: a case study, Unpublished PhD Thesis, School of Mathematics, Computer Science & Engineering, City, University of London.

Al-Zarooni, S (1997) Developing the construction industry in the United Arab Emirates with special reference to Abu Dhabi, Unpublished PhD Thesis, , University of London, University College London.

Alnaggar, A M M M (2022) Digital transformation in asset management organisations: towards a data driven approach for life cycle asset management, Unpublished PhD Thesis, , University College London (University of London).

Antonopoulou, S (1987) The building industry in Greece: its role in the post-war Greek economy, Unpublished PhD Thesis, , University College London (University of London).

Apostolopoulos, C (2015) Risk assessment for change management within project management: a hierarchical model process approach, Unpublished PhD Thesis, , City, University of London.

Arvanitis, D (2017) Collaboration and contract management in the context of offshore oil and gas contracts: an English law analysis, Unpublished PhD Thesis, The City Law School, City, University of London.

Atkinson, A R (2000) The management of error in construction projects, Unpublished PhD Thesis, , University of London, University College London.

Baik, A H (2017) Heritage Building Information Modelling (HBIM) as a model of UNESCO's World Heritage Nomination File, Unpublished PhD Thesis, , University College London (University of London).

Ball, M (1988) Economic change in the British construction industry, Unpublished PhD Thesis, Department of Economics, Birkbeck, University of London.

Baltazar dos Santos, A P (2009) Cyberarchitecture: the virtualisation of architecture beyond representation towards interactivity, Unpublished PhD Thesis, , University College London (University of London).

Barros de Oliveira, N R (2013) A theory of coordination voids in dynamic inter-organisational relationships: a study of social housing projects in England, Unpublished PhD Thesis, Department of Management, London School of Economics and Political Science (University of London).

Beech, N (2012) Constructing everyday life: an architectural history of the South Bank in production, 1948-1951, Unpublished PhD Thesis, , University College London (University of London).

Behar, C B (2016) A socio-technical perspective of ventilation practices in UK social housing with whole house ventilation systems: design, everyday life and change, Unpublished PhD Thesis, , University College London (University of London).

Bouwer, K A (2016) Building disappointment: the limits and potential of tort liability for energy efficiency problems in domestic buildings, Unpublished PhD Thesis, , University College London (University of London).

Bowers, R (2019) Gendered economies of extraction: seeking permanence amidst the rubble of Bengaluru's construction industry, Unpublished PhD Thesis, Department of Anthropology, London School of Economics and Political Science (University of London).

Boyes, G (2021) Towards BIM/GIS interoperability: a theoretical framework and practical generation of spaces to support infrastructure Asset Management, Unpublished PhD Thesis, , University College London (University of London).

Burman, E (2016) Assessing the operational performance of educational buildings against design expectations: a case study approach, Unpublished PhD Thesis, , University College London (University of London).

Champion, R (2005) Acceleration in construction and engineering contracts , Unpublished PhD Thesis, , University of London.

Chan, H-W E (2003) A study of contractual provisions relevant to disputes arising in international construction projects involving both european and East asian cultural factors, Unpublished PhD Thesis, , King's College London (University of London).

Cho, Y (2000) The Korean housebuilding industry: aspects of growth, efficiency and diversification, 1980-1995, Unpublished PhD Thesis, Department of Economics, London School of Economics and Political Science (University of London).

Choy, N Y C (2016) The construction of urban design values in volume housing production, Unpublished PhD Thesis, , King's College London (University of London).

Eaglestone, F N (1993) An improved method of requesting insurance under UK construction contracts, Unpublished PhD Thesis, , City, University of London.

Eccles, T S (2009) The English building industry in late modernity: an empirical investigation of the definition, construction and meaning of profession, Unpublished PhD Thesis, Department of Economics, London School of Economics and Political Science (University of London).

Fang, Z (2022) Machine learning integrated portfolio-based strategic building asset management, Unpublished PhD Thesis, , University College London (University of London).

Few, J F M (2021) Ventilation in occupied homes: measurement, performance and sociotechnical perspectives, Unpublished PhD Thesis, , University College London (University of London).

Filho, Antonio Juca (1995) Technological change and informal housebuilding in Brazil, Unpublished PhD Thesis, , University of London, University College London.

Hesse, A D (1991) The management of risks in the procurement of very large construction projects (Britain and New Commonwealth): Comparative change in procurement methods for very large construction projects, Unpublished PhD Thesis, , University College London (University of London).

Howard, R W (2021) Of incentive, bias, and behaviour: an empirical economic investigation into project delivery constructs influencing the adoption of building information modelling, Unpublished PhD Thesis, , University College London (University of London).

Husain, T (2023) Foreign investment and infrastructure financing: railways during the first age of globalisation, Unpublished PhD Thesis, , University College London (University of London).

Kadir Pakir, A H (2003) Integration: A study in the context of low cost housing projects in Malaysia with special reference to the state of penang, Unpublished PhD Thesis, , University College London (University of London).

Kamanda-Kabague, B M (1981) Application of mathematical model techniques to the planning and control of overhead costs in the construction industry, Unpublished PhD Thesis, School of Mathematics, Computer Science & Engineering, City, University of London.

Khodakarami, V (2009) Applying Bayesian networks to model uncertainty in project scheduling, Unpublished PhD Thesis, , Queen Mary, University of London.

Kurul, E (2003) Re-using listed buildings through conversion: A process mapping approach, Unpublished PhD Thesis, , University College London (University of London).

Lin, R F Y (2016) The comparative econometric analysis of property and construction markets in commercial and residential sectors for GB and its regions, Unpublished PhD Thesis, , University of London, University College London.

Maci, M (2010) Bid rigging in the EU public procurement markets, Unpublished PhD Thesis, School of Law (?), Queen Mary, University of London.

Meaker, T A (1994) The role of intervention in strategic change, Unpublished PhD Thesis, Department of Systems Science, City, University of London.

Mihov, M (2020) Making it fit: The role of institutional work in the transplantation of the anglo-saxon public-private partnership model to Germany, Unpublished PhD Thesis, , University of London, King's College.

Mimendi Cruz, J L (2021) Digital workflow for the design, construction and management of natural bamboo pole structures, Unpublished PhD Thesis, , University of London, University College London.

Morton, C N (1979) Collective bargaining in building and civil engineering: a case study of three major re-development protects in the City of London, Unpublished PhD Thesis, , London School of Economics and Political Science (University of London).

Murray, A (2018) Returns on public capital investment: Procurement, whole life cost and value in English schools and hospitals, from 1997-2012, Unpublished PhD Thesis, , University College London (University of London).

Naghshbandi, S N (2022) Technology capabilities for safe and resilient coordination of automated earthwork systems: a decentralized multi-agent system approach, Unpublished PhD Thesis, , University College London (University of London).

Nathan, K V S K (1994) Submission to ICSID in breach of the convention: disputes in international civil engineering contracts, Unpublished PhD Thesis, Faculty of Laws, Queen Mary, University of London.

Netto, A M (2001) Third party rights for latent defects in buildings, Unpublished PhD Thesis, , King's College London (University of London).

Orero, E (2019) Exploring options in infrastructure financing in Africa: steering of public private partnerships (PPPs) in Kenya, Unpublished PhD Thesis, , Royal Holloway, University of London.

Pocobelli, D P (2021) Heritage building information model (BIM) for scientific data, Unpublished PhD Thesis, , University College London (University of London).

Polson, D R (2020) Assessment of applications of optimisation to building design and energy modelling, Unpublished PhD Thesis, , University of London, University College London.

Presland, A J (2023) Picturing construction, constructing identities: the photographic archive of John Laing & Son Ltd, Unpublished PhD Thesis, , University College London (University of London).

Reeves, K (2003) The evolution of the Japanese construction business system and its major players, Unpublished PhD Thesis, , University of London, University College London.

Reichert, J (2005) Will change management master the challenge of introducing the Eurocodes to the UK?, Unpublished PhD Thesis, , University of London, University College London.

Rowe, A (1991) Self-help housing provision and capital accumulation in atlantic Canada, Unpublished PhD Thesis, , University of London, London School of Economics.

Ryan, E C (2001) An economic analysis of standard construction contracts, Unpublished PhD Thesis, Centre for Construction Law and Management, King's College London (University of London).

Sanei, H (2016) Discipline breakdown structure: Bridging project management and systems engineering to form an integrated management system in multidisciplinary rail projects, Unpublished PhD Thesis, , University College London (University of London).

Sarie Eldin, H S (1995) Consortia agreements in the international construction industry: With special reference to Egypt, Unpublished PhD Thesis, , Queen Mary, University of London.

Sassano, G (2022) Optimism bias and cost overruns: experimenting on the internal and external views in resources and time estimation, Unpublished PhD Thesis, , University College London (University of London).

Shafie, K (1995) Building refurbishment contracts bid decision knowledge and its applicationan a knowledge based decision support system (ADJUBID), Unpublished PhD Thesis, , University of London, University College London.

Singh, R (2018) Defining models for project management processes, Unpublished PhD Thesis, , King's College London (University of London).

Song, Y (2022) Resilience bonds and the financing of resilient infrastructure, Unpublished PhD Thesis, , University College London (University of London).

Ssengooba, F P (2010) Performance-based contracting: a case study of non-profit hospitals in Uganda, Unpublished PhD Thesis, London School of Hygiene and Tropical Medecine, University of London.

  • Type: Thesis
  • Keywords: performance-based contracting; procurement; case study; hospital; health-care
  • ISBN/ISSN:
  • URL: http://shar.es/CQpJo
  • Abstract:

    Performance-based contracting (PBC) and similar approaches to tie funding to measured performance have become major characteristics of innovative financing mechanisms. The World Bank and Uganda’s Ministry of Health pilot tested PBC in five districts for a period 2003 to 2006. This PhD examines the response to this pilot among private-not-for-profit (PNFP) hospitals. A multi-level analysis was undertaken to explore essential up-stream and downstream institutional relationships and functions for PBC success. Agency-based and processbased organisational theories were used as alternative frameworks to build explanations of the response actions. In -depth case studies were carried out using mixed methods among PNFP hospitals that were assigned to different mix of PBC pilot components (performance targets, service output metering, performance feedback and financial bonuses). Seven PNFP hospitals participated in the PBC pilot while an additional three non-participating public hospitals provided opportunity for comparative analysis. In-depth interviews (28) covered hospital management teams (HMTs) and members of their Board of Governors (BOG) in all the ten hospitals. Five district health officials, two implementers of PBC pilots and two officials from Uganda Catholic Medical Bureau (UCMB) were also interviewed. A survey of 560 hospital staff at baseline and 741 after 12 months was undertaken among the 10 hospitals to measure changes in perceptions relevant to hospital performance. Participant observations were undertaken during meetings for PBC pilot activities as well as meetings for reviewing the performance of health activities at national and district levels. Major findings: Upstream support functions like financial disbursement, staff movements and costs of service provision formed contextual constraints for the hospitals to respond to PBC. Likewise, governance relationships between HMT and BOG provided additional constraints for PBC success. Hospital managers were expected to respond to several performance-focused interventions - many of which were contradictory to the PBC targets. Among the difficulties observed during the PBC pilot implementation, poor metering of performance and inadequate financing for the essential pilot elements were particularly problematic. The implementation arrangements generated unanticipated negative performance influences especially among the control group -a situation that may overestimate the pilot effectiveness. Findings show that financial bonuses at the organization level can create either motivation or demotivation among staff depending on the hygiene of the bonus allocation processes within an organization. Results from the staff surveys indicate that the drivers for performance improvements in the hospitals were related to job satisfaction, performance governance of work teams, availability of medicines and supplies, as well as staff satisfaction with their financial benefits. Conclusions: PBC may not achieve optimal effectiveness in settings without a package of supplementary interventions for improving resource inputs, performance governance and motivating the workforce. Financial incentives as predicted from agency theory were not sufficient for PBC success. Micro-care approaches aimed at improving the organisational processes (process-based theory) for better performance will be required for greater effectiveness of PBC initiatives and policies. Policy prescriptions and implementation arrangements for PBC interventions need to provide for on-going monitoring of mechanisms and consequences as a basis for mitigating harmful effects on health systems and optimizing the good.

Stephenson, J (2015) The organisation of work and wages in the London building trades in the long eighteenth century, Unpublished PhD Thesis, Department of Economic History, London School of Economics and Political Science (University of London).

Sugiyantoro (2021) Homebuyers' strategies for progressive residential infrastructure improvement in Bandung, Indonesia, Unpublished PhD Thesis, , University College London (University of London).

Sweis, R K (1988) Construction insurance in the Arab Gulf area: an analysis of cover and contracts, Unpublished PhD Thesis, Business School, City, University of London.

Symons, A W (2021) Integrated design, design management and the delivery of major hospitals, Unpublished PhD Thesis, , University College London (University of London).

Tangrungruengyoo, K (2018) The impact of environmental impact assessment on new housing development: a case study of Bangkok, Thailand, Unpublished PhD Thesis, Geography Department, King's College London (University of London).

Thiel, D J (2005) Builders: the social organisation of a construction site, Unpublished PhD Thesis, Department of Sociology, London School of Economics and Political Science (University of London).

Thomas, C S (1994) Aspects of building contracts: A comparative view of English and French law in the light of potential harmonisation, Unpublished PhD Thesis, , King's College London (University of London).

Tidwell, J B (2018) Creating demand for peri-urban sanitation in Lusaka, Zambia, Unpublished PhD Thesis, , London School of Hygiene and Tropical Medicine (University of London).

Udomdech, P (2020) Project-based innovation learning mechanisms in the built environment, Unpublished PhD Thesis, , University of London, University College London.

Udomdech, P (2021) Project-based innovation learning mechanisms in the built environment, Unpublished PhD Thesis, , University College London (University of London).

Vinci, F (2022) Project-based networks in the delivery of infrastructure projects and programmes, Unpublished PhD Thesis, , University College London (University of London).

Wang, Y (2022) Monitoring, modelling and analysis of occupants' operation of windows, use of air purifiers and smart air quality control in low-energy residential buildings, Unpublished PhD Thesis, , University College London (University of London).

Watson, H B (1975) Organizational bases of professional status: a comparative study of the engineering profession, Unpublished PhD Thesis, , London School of Economics and Political Science (University of London).

Whittaker, J D (1970) A study of competitive bidding with particular reference to the construction industry, Unpublished PhD Thesis, Business School, City, University of London.

Zhao, C E (2007) Financial risk management of PPP projects in the UK and China: A comparative study, Unpublished PhD Thesis, , University of London, University College London.

Zhou, H (2021) Institution building, organisational restructuring and everyday negotiations in Uganda's roads sector, Unpublished PhD Thesis, , SOAS, University of London.