Change search
ReferencesLink to record
Permanent link

Direct link
The multi-professional team as a post-NPM control regime: Can it integrate competing control regimes in healthcare?
GRI, School of Business, Economics and Law, University of Gothenburg.
University of Skövde, School of Technology and Society.
2013 (English)In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, 45-67 p.Article in journal (Refereed) Published
Abstract [en]

This paper focuses on multi-professional teams (MPT) as a potential post New Public Management (NPM) control regime in order to develop individualistic and holistic care in healthcare in the context of two competing logics: managerialism and professionalism. In a qualitative case study, three outpatient Child and Adolescent Psychiatric (CAP) care units are investigated using interviews, observations and shadowing. The study shows that the MPT has an integrative effect on the two logics when informal alliances are formed between psychologists/psychiatrists and unit managers. We conclude that the MPT may achieve patient care in a resource-effective and professional way but not individualistic and holistic care. An explanation may be that individualistic and holistic care is neither measurable/quantifiable as required by the resource-effectiveness goal nor in focus as a consequence of the logic of professionalism. A theoretical implication is that the negative effect of NPM on the professionals’ autonomy is mitigated by the MPT. Earlier studies may have underestimated the importance of “hard facts” introduced by a strong control regime, in this case, the NPM context. The control regime may take over and create collaboration; nonetheless, the outcome is not entirely the desired one.

Place, publisher, year, edition, pages
Göteborg: Göteborgs universitet , 2013. Vol. 16, no 2, 45-67 p.
Keyword [en]
Multi-professional teams, New Public Management, professions, cooperation, healthcare
Keyword [sv]
Multiprofessionella team, New public management, professioner, samarbete, sjukvård
National Category
Business Administration
Research subject
Humanities and Social sciences
URN: urn:nbn:se:his:diva-8391OAI: diva2:639939
Available from: 2013-08-12 Created: 2013-08-12 Last updated: 2013-09-20

Open Access in DiVA

The multi-professional team as a post-NPM control regime: Can it integrate competing control regimes in healthcare?(317 kB)365 downloads
File information
File name FULLTEXT01.pdfFile size 317 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Länk till fulltext

Search in DiVA

By author/editor
Andersson, Thomas
By organisation
School of Technology and Society
In the same journal
Offentlig Förvaltning. Scandinavian Journal of Public Administration
Business Administration

Search outside of DiVA

GoogleGoogle Scholar
Total: 365 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 960 hits
ReferencesLink to record
Permanent link

Direct link