Management accountants' roles and management controls in hospitals at times of strain — experiences during the Corona pandemic

  • To gain insights into resilient action-taking in management accounting departments in the healthcare sector during times of crisis, this article investigates the reaction of these departments in German hospitals during the Corona pandemic. The analysis is based on qualitative data collected via semi-structured interviews with 21 senior management accountants in large German hospitals in 2020 and 2022. Findings are discussed against the background of a theory-driven resilience framework. The results indicate that hospitals’ management accounting departments could quickly adjust their activities despite the absence of crisis plans for management accounting. They mainly contextualized the applied management controls in an enabling, complexity-absorbing way, and they acted as information providers and partly as business partners, but rarely as corporate policemen. These activities were embedded in four overarching topics that framed all their activities, i.e., the development of a mindsetTo gain insights into resilient action-taking in management accounting departments in the healthcare sector during times of crisis, this article investigates the reaction of these departments in German hospitals during the Corona pandemic. The analysis is based on qualitative data collected via semi-structured interviews with 21 senior management accountants in large German hospitals in 2020 and 2022. Findings are discussed against the background of a theory-driven resilience framework. The results indicate that hospitals’ management accounting departments could quickly adjust their activities despite the absence of crisis plans for management accounting. They mainly contextualized the applied management controls in an enabling, complexity-absorbing way, and they acted as information providers and partly as business partners, but rarely as corporate policemen. These activities were embedded in four overarching topics that framed all their activities, i.e., the development of a mindset of adaptation, the will to keep the business going, and the reasonable shaping of internal and external interactions. These observations add insights to the empirical research on the effect of crises on management controls and management accountants’ roles, and the developed resilience framework provides a structure to organize them beyond the present study to advance theory building.show moreshow less

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Metadaten
Author:Jennifer KunzORCiDGND, Laura Brix, Roberta Di Carlo, Jens O. BrunnerORCiDGND
URN:urn:nbn:de:bvb:384-opus4-1265709
Frontdoor URLhttps://opus.bibliothek.uni-augsburg.de/opus4/126570
ISSN:2191-4761OPAC
ISSN:2191-477XOPAC
Parent Title (English):Journal of Management Control
Publisher:Springer
Place of publication:Berlin
Type:Article
Language:English
Date of first Publication:2025/03/01
Publishing Institution:Universität Augsburg
Release Date:2025/12/08
Tag:I18; M10; M41
Corona pandemic; Health care system; Hospitals; Management accounting; Management controls
Volume:36
Issue:1
First Page:1
Last Page:30
DOI:https://doi.org/10.1007/s00187-025-00389-6
Institutes:Wirtschaftswissenschaftliche Fakultät
Wirtschaftswissenschaftliche Fakultät / Institut für Betriebswirtschaftslehre
Wirtschaftswissenschaftliche Fakultät / Institut für Betriebswirtschaftslehre / Lehrstuhl für Health Care Operations / Health Information Management
Wirtschaftswissenschaftliche Fakultät / Institut für Betriebswirtschaftslehre / Lehrstuhl für Controlling
Dewey Decimal Classification:3 Sozialwissenschaften / 33 Wirtschaft / 330 Wirtschaft
Licence (German):CC-BY 4.0: Creative Commons: Namensnennung