Path Dependence on New Roads. Institutional Development of Quality Registers
2014 (English)In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 18, no 2, 3-22 p.Article in journal (Refereed) Published
When explaining social development and changes in public administration, institutional changeis a typical focus. Institutional analysis can combine the analyses of changes on the basis offormal legal and informal arrangements; it commonly shows that institutions lead to inertiawhere changes over time are concerned. Political aims are a guide to how organizations aredesigned and governed. When goals and earlier decisions clearly guide change, path dependenceis a fundamental concept when explaining change. However, this analysis shows how andwhen quality registers appeared as an answer to changes in institutional arrangements in Swedishpublic healthcare. Through three phases, cumulative processes have been visible and theprocesses have been followed by an improved and increased usage of quality registers andother quality systems. This analysis shows that institutional development can be pathdependentin relation to methods and means. Despite changing goals over time, quality registersas a policy tool have been path-dependent and stayed firm. Thus, it is important to see alsoorganisational methods as a development path that can be used to implement even new policyaims.
Place, publisher, year, edition, pages
Förlag Göteborgs Universitet, 2014. Vol. 18, no 2, 3-22 p.
Institutional change, quality registers, public governance, path dependence, time
Public Administration Studies
IdentifiersURN: urn:nbn:se:liu:diva-114514OAI: oai:DiVA.org:liu-114514DiVA: diva2:790656