6. Summary and conclusions
In this study, we seek insights into ownership and MCS design, and the implications of this choice for organisational performance in professional service organisations. We conduct our study within the Australian primary healthcare context given the observed variation in ownership resultant from a constantly changing regulatory environment. We undertake a broad-based survey of practice managers sourced from the AAPM. As our primary measure of performance, we use a subjective measure of relative profitability and for sensitivity purposes, an objective measure based on gross fees. Our findings uniformly support the prediction (H1) that a lack of fit between MCS design and ownership will result in reduced organisational performance. We also extend the analysis to consider a series of non-financial measures of performance, with similar findings in the main.