Orchestrating public reforms through joint organizations: the case of a new remuneration policy in Belgian healthcare
研究了比利时医疗保健领域由雇主和工会联合管理的组织如何实施新薪酬框架，揭示了联合组织在协调公共改革中的优势与挑战，以及政治目标、管理理性和工人期望之间的张力。
While remuneration policies in the public sector are a powerful lever for attracting and retaining qualified staff, they are known to be notoriously difficult to change. This paper sets out to unveil how remuneration reforms unfold by exploring the case of Belgian healthcare, in which a sectoral organization jointly managed by employers and labour unions implemented a new compensation framework. Two contributions emerged from this study. First, the paper emphasizes the strengths and challenges of joint organizations in orchestrating public reforms. Second, the tensions between political objectives, managerial rationalities, and workers’ expectations that arise when transforming remuneration policies are highlighted.