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  • 1. Arman, Rebecka
    et al.
    Wikström, Ewa
    Dellve, Lotta
    University of Borås, School of Health Science.
    Structuration in Managerial Communication Processes2012In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 143-163Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to describe and analyse observed managerial communication. The research questions concerned: What characterizes managerial communication practices and the organizational consequences? We make use of structuration theory and view communication as a social interaction process in which temporary structures are negotiated. Ten first- and second-line managers were shadowed. The managers used a combination of structuration of caring, interdependency and accountability typical of health care organizations. The communication practices were related to how new norms of reputation management were institutionalized through structuration. The types of structuration were sometimes contradictory and productive communication was rare or non-existent. The managerial communication practices had consequences for the power and domination and for which issues were signified as part of the agenda. The conclusions can be generalizable to other professional organizations.

  • 2.
    Belin, Mats-Åke
    et al.
    Karolinska Instituet.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Vision Zero. How a policy innovation is dashed by interest conflicts, but may prevail in the end.2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 3, p. 83-102Article in journal (Other (popular science, discussion, etc.))
    Abstract [en]

    In October 1997 the Swedish Parliament adopted a new road safety policy – Vision Zero. Vision Zero entails a fundamentally new division of responsibility for traffic safety between road users and the so called system designers such as road administrations, municipalities, and professional transport companies among others. In this study the implementation of a formal responsibility for system designers to prevent serious injuries in road traffic between 1997 and 2009 is evaluated. Two main research questions have guided this study namely: How has the legislative process of formalizing the responsibility of system designers progressed? and What important factors might explain the implementation outcome? The main sources of information for this study were official key documents. Based on a goal attainment model, an important conclusion is that the goal to legally formalize a responsibility has only been minimally realized and therefore this might be an example of a classic implementation failure. In order to explain and discuss this low level of achievement a process evaluation approach has also been used. Built on this process evaluation approach, it can be questioned if this is an example of implementation failure after all.

  • 3. Berg Nordstrand, Laila
    et al.
    Puusa, Anu
    Pulkkinen, Kirsi
    Geschwind, Lars
    KTH, School of Education and Communication in Engineering Science (ECE), Learning.
    Managers’ identities: Solid or affected by changes in institutional logics and organisational amendments?2017In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 21, no 1, p. 81-101Article in journal (Refereed)
    Abstract [en]

    This paper studies doctors in Norway and Finland to compare how identities among professionals in managerial positions were expressed after changes in management in the aftermath of ‘New Public Management’ (NPM) reforms. Studying shifting identities provides a basis for investigating how institutions have changed and illuminates how agents within an organisation have implemented NPM-inspired reforms. Data from both countries revealed three groups: the majority of doctors/managers, who had a strong managerial identity; a smaller group who mainly identified as doctors; and a few doctors who displayed hybrid identities. Work experiences have a strong effect on how identity is perceived. Doctors who hold on to their professional identities seemed uneasy with their skills and ability to perform the tasks related to their new position. Many of the doctors were found to have altered their identities due to organisational amendments and the expanded focus on management-related issues. Hence, this paper concludes that a strong intervention in the sector from central government, as seen in Norway, has resulted in implementing general management to a larger degree than in Finland, but in a more hybrid manner. This is expressed through a focus on management, the institutional logics at stake and doctors’ identity formation.

  • 4.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    Sahlgrenska akademin, Göteborgs universitet.
    Trender som utmanar traditioner: En hälso- och sjukvård i metamorfos2012In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 3-23Article in journal (Refereed)
    Abstract [en]

    This article reviews the traditions of the health care industry while challenged by trends. Strong professions, ambiguous and contradictory aims, and a lack of resources have contributed to difficulties managing contradictory needs. One way to handle the situation is to introduce systems based on freedom of choice, inter organisational and professional work, and an improved degree of flexibility. The trends are mainly influenced by New Public Management control models. The mixture of new and traditional types of management control has produced organisational hybrids. These organisational hybrids have contributed to organisational tensions from the old as well as the new in an inconsistent but regenerating way.

  • 5.
    Bohlin, Magnus
    et al.
    Dalarna University, School of Technology and Business Studies, Human Geography.
    Brandt, Daniel
    Dalarna University, School of Technology and Business Studies, Human Geography.
    Elbe, Jörgen
    Dalarna University, School of Technology and Business Studies, Business Administration and Management.
    The Development of Swedish Tourism Public Policy 1930-20102014In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 18, no 1, p. 19-39Article in journal (Refereed)
    Abstract [en]

    In this article, the development and changes in Swedish public policy relating to tourism from the 1930s to 2010 is described and interpreted from a political economy perspective. A case study, compiled from mainly secondary sources, is analyzed from a theoretical framework based on regulation theory. The purpose with this study is to increase the understanding of how the macro political economy context has influenced the policy-making in tourism in Sweden, but also to make a contribution to an area which seems to be quite neglected when it comes to research. The changes are analyzed according to the three periods denoted as pre-Fordism (mid-19th century-1930s), Fordism (1930s-1970s) and post-Fordism (1970s to present). It is observed how the general changes between these periods regarding aspects such as regulation and deregulation, and the degree of state involvement, have affected tourism policy making. The tourism policy making has changed from being insignificant, to a high degree of state involvement including planning, control and supervision, to a situation where the market rather than government regulation is considered as state of the art. 

  • 6.
    Copus, Colin
    et al.
    DeMontfort University, UK.
    Erlingsson, Gissur Ó
    Linköping University, Department for Studies of Social Change and Culture, Centre for Municipality Studies. Linköping University, Faculty of Arts and Sciences.
    Formal institutions versus informal decision-making. On parties, delegation and accountability  in local government2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 1, p. 51-69Article in journal (Refereed)
    Abstract [en]

    It has been argued that formal institutions are weak in local government. It therefore follows that ideal-typical models of formal institutions that are supposed to regulate behavior in local government are poor at capturing what goes on in local politics. By comparing two different institutional settings – Sweden and England – we demonstrate the importance played by political parties in dominating the informal processes that influence de facto decision-making and actual political outcomes in local government. The high degree of informality found in such relatively different systems such as Sweden and England have troublesome implications for democratic accountability. This makes it pressing to explore to what extent citizens’ and party members’ control over local politics is meaningful even at the local level, where parties operate in close proximity to citizens and where public engagement and participation may be expected to perform at its best.

  • 7.
    Erlingsdóttir, Gudbjörg
    et al.
    Lund University, Department of Design Sciences,.
    Lindholm, Cecilia
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    When patient empowerment encounters professional autonomy: The conflict and negotiation process of inscribing an eHealth service2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 2, p. 27-48Article in journal (Refereed)
    Abstract [en]

    In Sweden, as in many other European countries, government and public agencies have promoted the expansion of eHealth in recent years, arguing that this development enhances patient participation, empowerment and cost efficiency. This article presents a study of the development of My medical record on the Internet, a civic service originally inspired by the home banking concept. The study illustrates how the technology is developed and inscribed with new technical norms, dictating access and use. These norms are in turn shaped by negotiations between social and legal norms as well as the values and beliefs of several different actors involved in the development process. Supported by the study, we conclude: 1) that the new technology challenges the medical professionals, thus causing resistance as the institutional boundaries are changed when patients are given digital access to their medical record; 2) that the technology changes or inscribes the law; 3) that a pilot project of this type is dependent on an enthusiast, seeing the project through until it becomes accepted on a larger scale; and 4) that increased patient participation requires improved access to information which differs from the NPM rhetoric advocating more service to customers

  • 8.
    Erlingsson, Gissur
    et al.
    Linköping University.
    Wångmar, Erik
    Linnaeus University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Ödalen, Jörgen
    Uppsala University.
    Kommunsammanläggningarna 1952-1974: Hur blev de politiskt möjliga?2010In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 14, no 3-4, p. 3-36Article in journal (Refereed)
    Abstract [en]

    During 1952–1974 the Swedish municipal structure was radically reformed. In 22 years the number of municipalities was reduced from 2 498 to 278. What makes suchlarge-scale reforms possible? We answer this question by analyzing the politicsbehind the amalgamation reforms. We investigate (a) the main arguments for theamalgamations, (b) the degree of consensus behind the decisions, (c) if any alternativeswere presented in the debates leading up to the reforms, and finally (d) how itwas politically possible to push through these reforms. Two different models ofexplanation are put to the test; evolutionary accounts, which see the amalgamationsas rational adaptations to changing social and economic circumstances are contrastedwith a social conflict perspective, which explains the amalgamations in terms of theirdistributional consequences. We argue that an analysis of Sweden's municipal amalgamationreforms supports the social conflict perspective.

  • 9.
    Erlingsson, Gissur Ó
    et al.
    Linköping University, Department for Studies of Social Change and Culture, Centre for Municipality Studies – CKS. Linköping University, Faculty of Arts and Sciences.
    Wittberg, Emanuel
    Linköping University, The Institute for Analytical Sociology, IAS. Linköping University, Department for Studies of Social Change and Culture, Centre for Municipality Studies – CKS. Linköping University, Faculty of Arts and Sciences.
    They Talk the Talk – But Do They Walk the Walk?: On the implementation of Right to Information Legislation in Sweden2018In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 22, no 4, p. 3-20Article in journal (Refereed)
    Abstract [en]

    Transparency is recognized as a crucial condition for accountability, good governance and democracy. As right to information (RTI) laws have spread, it has become crucial to ask whether ambitious legislative frameworks translate to de facto transparency. In this article, we test how well local governments in Sweden – a ‘most likely country’ for implementing RTI laws – comply with its comparatively ambitious Public Access to Information and Secrecy Act. As a side effect, we also gauge if New Public Management reforms, exemplified by increased public ownership of enterprises in local government, imply lessened compliance with RTI legislation. Requesting information from 462 randomly selected public administrations and municipally owned enterprises, counterintuitive findings were observed. Fewer than half of the organizations respected the RTI legislation, and no significant differences were found between the public administrations and publicly owned enterprises. The findings have methodological as well as empirical implications. They highlight the importance of not only studying legislative frameworks – as has frequently been done in previous work – but also of analyzing actual implementation of RTI frameworks in everyday situations. Additionally, the findings demonstrate that problems relating to openness can be observed in low corrupt, mature democracies with strong bureaucratic capacity. Lastly, and contrary to conventional wisdom, the findings indicate that publicly owned corporations do not necessarily imply an ‘accountability deficit’.

  • 10.
    Erlingsson, Gissur Ó.
    et al.
    Centrum för kommunstrategiska studier, Linköpings universitet.
    Wångmar, Erik
    Institutionen för samhällsvetenskaper, Linnéuniversitet.
    Ödalen, Jörgen
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Kommunsammanläggningarna 1952–1974: Hur blev de politiskt möjliga?2010In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 14, no 3-4, p. 3-36Article in journal (Refereed)
    Abstract [sv]

    Under perioden 1952–1974 genomfördes ett antal omvälvande förändringar av den svenska kommunstrukturen. På 22 år gick Sverige från 2 498 till 278 kommuner. Hur blir sådana omfattande reformer möjliga? Vi besvarar denna fråga genom att analysera det politiska spelet bakom reformerna. Vi undersöker (a) de huvudsakliga argumenten för kommunsammanläggningarna, (b) grad av konsensus bakom besluten, (c) om, och i sådant fall vilka alternativ till reformerna som presenterades under de debatter som föregick dem, samt slutligen (d) hur man politiskt lyckades genomdriva dessa reformer. Vi ställer två olika förklaringsmodeller mot varandra; evolutionära förklaringar, som betraktar sammanläggningarna som rationella tillpassningar till förändrade omvärldsförhållanden, ställs mot ett socialt konfliktperspektiv som förklarar sammanläggningarna utifrån deras fördelningseffekter. Vi argumenterar för att vår analys av de svenska kommunsammanläggningarna ger stöd åt det sociala konfliktperspektivet.

  • 11.
    Feltenius, David
    Umeå University, Faculty of Social Sciences, Department of Political Science.
    Bokanmälan: Kommunala folkhemmet: Uppbyggnad, de gyllene åren, nedmontering2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 2, p. 147-150Article, book review (Refereed)
  • 12.
    Forssell, Anders
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    Norén, Lars
    Göteborgs universitet.
    Kunden i kundvalsmodellen2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, ISSN 2000-8058, Vol. 16, no 2, p. 25-43Article in journal (Refereed)
  • 13.
    Gadolin, Christian
    et al.
    University of Skövde, School of Business. University of Skövde, Enterprises for the Future.
    Wikström, Ewa
    School of Business, Economics and Law, University of Gothenburg, Gothenburg, Sweden.
    Organising Healthcare with Multi-Professional Teams: Activity Coordination as a Logistical Flow2016In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 20, no 4, p. 53-72Article in journal (Refereed)
    Abstract [en]

    Multi-professional teams are now common when organising healthcare. Such teams areconsidered to resolve fragmentation issues amongst units and their functions, facilitateefficient and high quality care and are also deemed to enable different professions to meetand exchange experience and knowledge. The expected consequence is superior decisionsand improved care. However, research suggests that the deployment of multi-professionalteams within healthcare organisations is problematic with regard to knowledge sharingand integration between different professional groups. While often recognised, the reasonfor this shortcoming has rarely been explored in depth. This study consequently elaborateson the factors hindering knowledge sharing through illustrating and discussing thelogics of different professional groups and the ensuing consequences when multiprofessionalteams interact. The finding is that the teams are being utilised by the medicalprofessions in accordance with their professional logic. This results in the coordination ofactivities, incorporating the patient flow logistics amongst the different professions; makingthe impact of multi-professional teams concrete in practice and illustrating their potentialpositive outcomes for professionals and patients, even though they are not operatingas forums for overt knowledge integration for the different professions.

  • 14.
    Hanberger, Anders
    Umeå University, Faculty of Social Sciences, Department of applied educational science, Umeå Centre for Evaluation Research (UCER).
    Framework for exploring the interplay of governance and evaluation2012In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 3, p. 9-27Article in journal (Refereed)
    Abstract [en]

    The article develops a conceptual framework for the interplay between evaluation andgovernance and explores key functions of evaluation in democratic governance, mainlythe accountability and improvement function. Using this framework contributes toknowledge of how governance affects evaluation and evaluation systems, and how evaluationmay contribute to policy or governance change. Functions of evaluation are exploredas effects of evaluative information produced by different evaluations on the onehand, and as evaluation system effects on the other. The framework can be used to mapout and explore the interplay between evaluation and governance in different policy sectors.Program theory methodology is used to unpack the assumptions underlying evaluationin the state and network models of governance. The program theories can be used toilluminate and discuss how evaluation should work in different models of democraticgovernance, as well as for empirical research of the interplay between governance andevaluation.

  • 15. Hedegaard, Joel
    et al.
    Rovio-Johansson, Airi
    Siouta, Eleni
    Sophiahemmet University.
    Communicative construction of native versus non-native Swedish speaking patients in consultation settings2014In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 4, p. 21-47Article in journal (Refereed)
    Abstract [en]

    In this paper, we examine patient-centered care through analyzing communicative constructions of patients, on the basis of their native language, in consultations with physicians. Whereas patient-centered care is of current interest in health care, research has not addressed its implications in this dimension. Previous studies indicate that non-native Swedish speaking patients, experience substandard interpersonal treatment far more than native Swedish speaking patients. Our findings show that the non-native Swedish speaking patients presented themselves as participating, whereas the native Swedish speaking patients presented themselves as amenable. The physicians responded in two different ways, argumentatively towards the non-native Swedish speaking patients and acknowledging vis-à-vis the native Swedish speaking patients. When decisions and conclusions were made by the patients and physicians, this resulted in preservation of the status quo in the consultations with the non-native Swedish speaking patients, while the corresponding result with the native Swedish speaking patients was monitoring of their health status. So, whereas the non-native Swedish speaking patients actually were model patient-centered care patients, physicians were more amenable towards the native Swedish speaking patients. We suggest that patient-centered care is desirable, but its practical application must be more thoroughly scrutinized from both a patient and a health care worker perspective.

  • 16.
    Hedegaard, Joel
    et al.
    Jönköping University, School of Education and Communication, HLK, Lifelong learning/Encell.
    Rovio-Johansson, Airi
    Gothenburg Research Institute (GRI), School of Business, Economics and Law, Universi-ty of Gothenburg .
    Siouta, Eleni
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare. Sophiahemmet University.
    Communicative construction of native versus non-native Swedish speaking patients in consultation settings2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 4, p. 21-49Article in journal (Refereed)
    Abstract [en]

    In this paper, we examine patient-centered care through analyzing communicative constructions of patients, on the basis of their native language, in consultations with physicians. Whereas patient-centered care is of current interest in health care, research has not addressed its implications in this dimension. Previous studies indicate that non-native Swedish speaking patients, experience substandard interpersonal treatment far more than native Swedish speaking patients. Our findings show that the non-native Swedish speaking patients presented themselves as participating, whereas the native Swedish speaking patients presented themselves as amenable. The physicians responded in two different ways, argumentatively towards the non-native Swedish speaking patients and acknowledging vis-à-vis the native Swedish speaking patients. When decisions and conclusions were made by the patients and physicians, this resulted in preservation of the status quo in the consultations with the non-native Swedish speaking patients, while the corresponding result with the native Swedish speaking patients was monitoring of their health status. So, whereas the non-native Swedish speaking patients actually were model patient-centered care patients, physicians were more amenable towards the native Swedish speaking patients. We suggest that patient-centered care is desirable, but its practical application must be more thoroughly scrutinized from both a patient and a health care worker perspective.

  • 17.
    Hämberg, Eva
    Dalarna University, School of Health and Social Studies, Social Work.
    Supervision as control system: the design of supervision as a regulatory instrument in the social services sector in Sweden2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 3, p. 45-63Article in journal (Refereed)
    Abstract [en]

    In this article, the prevailing official view of supervision as a regulatory instrument is examined as it applies to the social services sector in Sweden. The study is based on a comparison of the views expressed on the design of supervision as a regulatory instrument by two government commissions, the Supervision Commission and the Commission on Supervision within the Social Services (UTIS), and on the positions taken by the Government regarding the definitions of the concept of supervision proposed by these commissions. The view of supervision as a regulatory instrument expressed in these policy documents is analysed with the help of a theoretical framework describing the components, their functions and the governance characteristics of control systems. In the framework separate interrelated characteristics of the components are identified and summarized into two models of control systems. The analysis shows that supervision in the Swedish social services sector can be described in terms of both a disciplinary and non-disciplinary system. By its system theoretical basis and the identification of interrelated characteristics the study contributes to a broadened understanding of the construction and functions of supervision as a regulatory instrument and of how supervision within the Swedish social sector is meant to be designed.

  • 18.
    Hämberg, Eva
    Örebro University, School of Law, Psychology and Social Work. Socialt arbete, Högskolan Dalarna, Falun, Sweden.
    Supervision as control system: the design of supervision as a regulatory instrument in the social services sector in Sweden2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 3, p. 45-63Article in journal (Refereed)
    Abstract [en]

    In this article, the prevailing official view of supervision as a regulatory instrument is examined as it applies to the social services sector in Sweden. The study is based on a comparison of the views expressed on the design of supervision as a regulatory instrument by two government commissions, the Supervision Commission and the Commission on Supervision within the Social Services (UTIS), and on the positions taken by the Government regarding the definitions of the concept of supervision proposed by these commissions. The view of supervision as a regulatory instrument expressed in these policy documents is analysed with the help of a theoretical framework describing the components, their functions and the governance characteristics of control systems. In the framework separate interrelated characteristics of the components are identified and summarized into two models of control systems. The analysis shows that supervision in the Swedish social services sector can be described in terms of both a disciplinary and non-disciplinary system. By its system theoretical basis and the identification of interrelated characteristics the study contributes to a broadened understanding of the construction and functions of supervision as a regulatory instrument and of how supervision within the Swedish social sector is meant to be designed.

  • 19.
    Jansson, Gabriella
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Politikens betydelse för e-förvaltning: Om lokala IT-projekt och det demokratiska ansvarsutkrävandet2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 2, p. 103-125Article in journal (Refereed)
    Abstract [sv]

    IT-projekt, med upprättandet av elektronisk förvaltning (e-förvaltning) som mål, intar en central plats i kommunernas förändringsarbete. Eftersom IT-projekt utgör en väsentlig utgiftspost och den slutgiltiga utformningen e-förvaltningen med stor sannolikhet påverkar medborgarnas förtroende för det offentliga, finns anledning att uppmärksamma vilken roll politiker har i denna utveckling. Artikelns syfte är därför att analysera kommunpolitikers roll i och betydelse för projektorganiseringen av e-förvaltning, samt diskutera vilka demokratiska implikationer deras deltagande eller icke-deltagande kan få. Resultaten visar att politikernas roller har varierat, men att ökat politisk deltagande skulle kunna ha betydelse för projektorganiseringen, särskilt för att skapa en långsiktig och mer sammanhängande utveckling. Artikelns slutsatser visar särskilt på betydelsen av politisk styrning, där aspekter som den politiska visionen, beslutslegitimiteten och beslutsmakten har relevans för utvecklingen av IT-projekt, samt mer långsiktigt, även för den offentliga förvaltningen. Detta gäller framför allt det demokratiska ansvarsutkrävandet. Avsaknaden av politisk styrning riskerar urholka övriga dimensioner av politikerrollen, som representation och beslutsfattande, vilket kan försvaga den demokratiska legitimiteten.

  • 20.
    Johansson, Jörgen
    et al.
    Halmstad University, School of Education, Humanities and Social Science, Centrum för lärande, kultur och samhälle (CLKS). Karlstad University, Karlstad, Sweden.
    Niklasson, Lars
    Linköping University, Linköping, Sweden.
    Persson, Bo
    Linköping University, Linköping, Sweden.
    The role of municipalities in the bottom-up formation of a meta-region in Sweden: drivers and barriers2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 4, p. 71-88Article in journal (Refereed)
    Abstract [en]

    The sub-national level in the Nordic countries is currently undergoing a process of major transformation. A central issue concerns the role of municipalities in regionalization processes. The purpose of the article is to analyse the positions and strategies of municipalities regarding interlocal cooperation and regional governance, in relation to a failed attempt to create a new large region in southern Sweden during 2013-2014. This attempt was based on a reform strategy, initiated by the government, which gave the main role in the creation of larger regions to municipalities and regional actors in a bottom-up process. How can we understand the roles of municipalities, and what are the drivers and barriers in a bottom-up strategy of regional formation? Our study shows that the views expressed by municipal representatives in Sweden regarding regional governance are anchored in the strong institutional position of municipalities in that country. Our conclusion is that a bottom-up strategy has several shortcomings as a method for making institutional reforms in a system of regional governance. There are obvious drivers in such a process, but there are also difficulties in achieving cooperation that result from high transaction costs (which lead to a collective-action dilemma), from an uncertain national policy, and from problems of legitimacy. © Jörgen Johansson, Lars Niklasson, Bo Persson and School of Public Administration 2015

  • 21. Johansson, Kerstin
    et al.
    Denvall, Verner
    Evert, Vedung
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.
    After the NPM Wave: Evidence-Based Practice and the Vanishing Client2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 2, p. 69-88Article in journal (Refereed)
    Abstract [en]

    Over the last two decades, a movement for Evidence-Based Management (EBM) has surfaced across the Atlantic world with pretensions of being a successor of New Public Management (NPM). In this paper, we focus on Swedish social welfare as an arena where persistent government attempts have been made to implement locally new evidence-based ideas, specifically evidence-based practice (EBP). In Swedish discourse, the meaning of “evidence-based” is contested. One interpretation maintains that best (and only acceptable) evidence comes from the use of randomized controlled trials (RCTs). Another interpretation maintains that evidence from research constitutes only one leg of a multi-factorial definition; that is, this view contends that RCT evidence should be considered along with experience of practitioners and clients (users). Although client participation was an important tenet in the incipient attempts to implement EBP, by using translation theory this article will show that later attempts have tended to ignore the client’s perspective. From this foundation, we address why client views and outlooks have been ignored in EBP implementation.

  • 22.
    Johansson, Kerstin
    et al.
    Linköping University.
    Denvall, Verner
    Linnaeus University, Faculty of Social Sciences, Department of Social Work.
    Vedung, Evert
    Uppsala University.
    After the NPM Wave: Evidence-based practice and the vanishing client2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 2, p. 69-88Article in journal (Refereed)
    Abstract [en]

    Over the last two decades, a movement for Evidence-Based Management (EBM) has surfaced across the Atlantic world with pretensions of being a successor of New Public Management (NPM). In this paper, we focus on Swedish social welfare as an arena where persistent government attempts have been made to implement locally new evidence-based ideas, specifically evidence-based practice (EBP). In Swedish discourse, the meaning of “evidence-based” is contested. One interpretation maintains that best (and only acceptable) evidence comes from the use of randomized controlled trials (RCTs). Another interpretation maintains that evidence from research constitutes only one leg of a multi-factorial definition; that is, this view contends that RCT evidence should be considered along with experience of practitioners and clients (users). Although client participation was an important tenet in the incipient attempts to implement EBP, by using translation theory this article will show that later attempts have tended to ignore the client’s perspective. From this foundation, we address why client views and outlooks have been ignored in EBP implementation.

  • 23.
    Karlsson, Martin
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Lundberg, Erik
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Motstrategier eller undanmanövrar?: Svenska partiorganisationer i skuggan av en negativ medlemsutveckling2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 4, p. 49-70Article in journal (Refereed)
    Abstract [sv]

    Från år 1979 fram till idag har de politiska partierna sammanlagt förlorat mer än 80 procent av sina medlemmar. Den här uppsatsen undersöker de svenska partiorganisationernas strategier och agerande i skuggan av de senaste decenniernas sjunkande medlemstal. Detta görs genom att undersöka: 1) Hur ledande partiföreträdare förhåller sig till partiernas medlemsutveckling; 2) På vilket sätt och i vilken utsträckning ledande partiföreträdare anser att partierna har anpassats för att hantera rekryteringsfunktionen respektive aggregeringsfunktionen i en situation med minskande medlemsorganisationer samt 3) Om det finns det några skillnader när det gäller hur ledande partiföreträdare förhåller sig till medlemsminskningen och hur dessa i sådana fall kan förstås. Uppsatsen visar att medlemsrekrytering inte tycks vara någon särskilt prioriterad fråga för något av partierna. Partiföreträdarena menar att medlemsutvecklingen inte har föranlett några stora och mer genomgripande förändringar av partiernas organisation i syfte att stärka eller utveckla partiernas aggregeringskanaler. Analysen visar vidare att det finns en insikt bland alla partiföreträdare om svårigheten när det gäller hur partierna ska klara försörjningen av framtidens förtroendevalda men att några mer genomgripande förändringar i partiorganisationerna inte går att se. Slutligen påvisar uppsatsen också att partiföreträdare från de folkrörelsebaserade partierna är mer medlemsorienterade och ger uttryck för att partierna i första hand söker lösningar som finns inbyggt i dess struktur, tradition och identitet som folkrörelse. Partiföreträdare från de icke-folkrörelsebaserade partierna ger uttryck för att dessa partier är mindre bundna till idealet om många medlemmar och också mer benägen att utveckla fler och alternativa aggregeringskanaler och rekryteringskanaler än de folkrörelsebaserade partierna.

  • 24.
    Karlsson, Martin
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Lundberg, Erik
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Motstrategier eller undanmanövrar?: Svenska partiorganisationer i skuggan av en negativ medlemsutveckling2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 4, p. 49-70Article in journal (Refereed)
    Abstract [sv]

    Från år 1979 fram till idag har de politiska partierna sammanlagt förlorat mer än 80 procent av sina medlemmar. Den här uppsatsen undersöker de svenska partiorganisationernas strategier och agerande i skuggan av de senaste decenniernas sjunkande medlemstal. Detta görs genom att undersöka: 1) Hur ledande partiföreträdare förhåller sig till partiernas medlemsutveckling; 2) På vilket sätt och i vilken utsträckning ledande partiföreträdare anser att partierna har anpassats för att hantera rekryteringsfunktionen respektive aggregeringsfunktionen i en situation med minskande medlemsorganisationer samt 3) Om det finns det några skillnader när det gäller hur ledande partiföreträdare förhåller sig till medlemsminskningen och hur dessa i sådana fall kan förstås. Uppsatsen visar att medlemsrekrytering inte tycks vara någon särskilt prioriterad fråga för något av partierna. Partiföreträdarena menar att medlemsutvecklingen inte har föranlett några stora och mer genomgripande förändringar av partiernas organisation i syfte att stärka eller utveckla partiernas aggregeringskanaler. Analysen visar vidare att det finns en insikt bland alla partiföreträdare om svårigheten när det gäller hur partierna ska klara försörjningen av framtidens förtroendevalda men att några mer genomgripande förändringar i partiorganisationerna inte går att se. Slutligen påvisar uppsatsen också att partiföreträdare från de folkrörelsebaserade partierna är mer medlemsorienterade och ger uttryck för att partierna i första hand söker lösningar som finns inbyggt i dess struktur, tradition och identitet som folkrörelse. Partiföreträdare från de icke-folkrörelsebaserade partierna ger uttryck för att dessa partier är mindre bundna till idealet om många medlemmar och också mer benägen att utveckla fler och alternativa aggregeringskanaler och rekryteringskanaler än de folkrörelsebaserade partierna.

  • 25.
    Karlsson, Martin
    et al.
    Örebro University, School of Humanities, Education and Social Sciences.
    Lundberg, Erik
    Örebro University, School of Humanities, Education and Social Sciences.
    Motstrategier eller undanmanövrar?: Svenska partiorganisationer i skuggan av en negativ medlemsutveckling2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 17, no 4, p. 49-70Article in journal (Refereed)
    Abstract [sv]

    Från år 1979 fram till idag har de politiska partierna sammanlagt förlorat mer än 80 procent av sina medlemmar. Den här uppsatsen undersöker de svenska partiorganisationernas strategier och agerande i skuggan av de senaste decenniernas sjunkande medlemstal. Detta görs genom att undersöka: 1) Hur ledande partiföreträdare förhåller sig till partiernas medlemsutveckling; 2) På vilket sätt och i vilken utsträckning ledande partiföreträdare anser att partierna har anpassats för att hantera rekryteringsfunktionen respektive aggregeringsfunktionen i en situation med minskande medlemsorganisationer samt 3) Om det finns det några skillnader när det gäller hur ledande partiföreträdare förhåller sig till medlemsminskningen och hur dessa i sådana fall kan förstås. Uppsatsen visar att medlemsrekrytering inte tycks vara någon särskilt prioriterad fråga för något av partierna. Partiföreträdarena menar att medlemsutvecklingen inte har föranlett några stora och mer genomgripande förändringar av partiernas organisation i syfte att stärka eller utveckla partiernas aggregeringskanaler. Analysen visar vidare att det finns en insikt bland alla partiföreträdare om svårigheten när det gäller hur partierna ska klara försörjningen av framtidens förtroendevalda men att några mer genomgripande förändringar i partiorganisationerna inte går att se. Slutligen påvisar uppsatsen också att partiföreträdare från de folkrörelsebaserade partierna är mer medlemsorienterade och ger uttryck för att partierna i första hand söker lösningar som finns inbyggt i dess struktur, tradition och identitet som folkrörelse. Partiföreträdare från de icke-folkrörelsebaserade partierna ger uttryck för att dessa partier är mindre bundna till idealet om många medlemmar och också mer benägen att utveckla fler och alternativa aggregeringskanaler och rekryteringskanaler än de folkrörelsebaserade partierna.

  • 26.
    Lidén, Gustav
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Nyhlén, Jon
    Stockholms Universitet.
    Nyhlén, Sara
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Neoliberal Steering in Swedish Integration Policy: the Rise and Fall of Introduction Guides2019In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 23, no 1, p. 23-40Article in journal (Refereed)
    Abstract [en]

    In the past decades, many policy sectors within European countries have encountered political reforms of neoliberal character. One of the key shifts has been the reorientation of public employment services that has been enforced, for example, through the establishment of what have been denoted as quasi-markets. Simultaneously with the rise of quasi-markets, welfare policy as a whole, including integration policy, has beenincreasingly oriented toward “activation”, with its focus on the individual’s obligationsand duties in relation to welfare services. These circumstances pose particular challenges to those charged with the governance of welfare services due to increasingly complex requirements for collaboration and control involving a multitude of actors. The reform is an example of a hybrid system where for- and non-profit actors compete for the“customer”, in this case, the newly arrived immigrant. This article focuses on the changes in Swedish integration reform as an archetype of these changes and studies a clearly defined case study. Empirically, this study draws from both documents and interviews. The article illustrates an unregulated and ill-monitored policy containing a model that comprises mixed modes of steering. The governance of the reform bears traits from both centralist and cooperative forms of governance and, thereby, involves competing philosophies of steering.

  • 27.
    Liff, Roy
    et al.
    GRI, School of Business, Economics and Law, University of Gothenburg.
    Andersson, Thomas
    University of Skövde, School of Technology and Society.
    The multi-professional team as a post-NPM control regime: Can it integrate competing control regimes in healthcare?2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 45-67Article in journal (Refereed)
    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.

  • 28.
    Loxbo, Karl
    Linnaeus University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Vaksamhet mot korruption och New Public Management2010In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 14, no 3-4, p. 38-60Article in journal (Refereed)
    Abstract [en]

    Even in a ‘least corrupt’ case like Sweden, scholars have begun to argue that rapid NPM reform has increased the risks for corruption. With the aim of scrutinizing this argument, this article sets out to map the degree to which the risk for corruption is brought to attention by politicians and civil servants in Swedish municipalities. The article concludes that corruption is a much more salient issue in municipalities with far-reaching NPM-reforms than in municipalities lacking such reform. It is concluded, furthermore, that corruption is likely to become an increasingly important issue on the political agenda if municipalities, regardless of their population size, have a history of client-choice models. Accordingly, the article shows that corruption is framed as a political problem precisely in those contexts where theory predicts that problems ought to be most extensive. Even though the results cannot say anything about the actual levels of corruption in Sweden, they indicate that politicians and civil servants with more extensive experience from NPM appear to acknowledge the increased risks for corruption pointed out by scholars.

  • 29. Nordgren, Lars
    et al.
    Åhgren, Bengt
    Nordic School of Public Health, Göteborg.
    Choice of primary care in Sweden: a discourse analysis of citizen statements2011In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 15, no 3, p. 25-40Article in journal (Refereed)
    Abstract [en]

    Through a discourse analysis of the end-users’ statements on their choice of primary care, there is a focus on how they use certain discourses in society with regard to which discourses governs their choices of primary care. For this purpose, a group interview was administered in a location in the south of Sweden. It was strategically designed to on the whole include individuals with following characteristics: age between 20-45 years, and 65 year or older, and also living in a small community. The following main discourses have been identified in the discussion; freedom of choice; i.e. to say that one has actively chosen one’s health centre or doctor, to be able to reject and re-select care-givers, networking; i.e. ‘to say that friends’ and acquaintances’ experiences affect the choice of a new health centre and professional service, i.e. to say that doctors and other staff should give professional service. It seems like choice of care has improved the possibilities of the citizens to choose preferred care provider, or drop one due to dissatisfaction. When implementing reforms in health care it is valuable to take into account the voices of the users, as they are able to contribute to the development of health care.

  • 30.
    Nylén, Ulrica
    Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Business Administration.
    Boundary preservation or modification: the challenge of collaboration in health care2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 115-142Article in journal (Refereed)
    Abstract [en]

    Collaboration has been alleged to increase quality and reduce costs in health care, however previous research shows that well-functioning integration might be difficult. This paper looks upon multi-professional teamwork from the professionals' perspective. The purpose is to study how organising processes are upheld or reshaped in a collaborative human services setting, and to explain the underlying mechanisms behind emerging organising processes. Two cases of multi-professional teamwork were studied and data collected through interviews with team members and their managers. The results suggest that it is possible to distinguish between organising processes of boundary modification and boundary preservation, respectively, where preserved legal and economic boundaries, maintenance of organisational cultures and separate service provision processes work to uphold existing organising processes , whereas disconnection of team activities from the parent organisations and the establishment of boundary platforms instead contribute to develop new modes of human services delivery. In particular, boundary platforms create meeting places for professionals to develop new ways of acting and producing services and therefore have the potential to exceed and modify physical, social and mental boundaries. Between the forces of boundary preservation and boundary modification, a tension will be induced and continuously upheld through political processes among actors.

  • 31.
    Olsson, Eva-Karin
    et al.
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), CRISMART (National Center for Crisis Management Research and Training).
    Söderlund, Malin
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), CRISMART (National Center for Crisis Management Research and Training).
    Falkheimer, Jesper
    Lund University, Sweden.
    Communicating terror: Selecting, reinforcing and matching frames in connection to the Norway July 22 attacks2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 1, p. 3-22Article in journal (Refereed)
    Abstract [en]

    In essence, terror attacks are communicative events. From the perspective of political leaders, the challenge is to make sense of the event by explaining what has happened, who is behind the attack, what is the most appropriate response, and how to move forward. Adding to the difficulties is the fact that leaders have to communicate in a highly mediated environment. In this article, we explore the Norwegian government’s crisis communication in the terrorist attacks in Oslo and on the island of Utöya on July 22, 2011. We do so by applying a model of crisis framing. According to the model, political leaders have to be able to select appropriate frames that reinforce each other and match the media coverage. The study proved managerial, responsibility and cultural congruence frames to be central. Moreover, the study demonstrated how the crisis produced a certain type of news coverage characterized by high levels of descriptive journalism, which, in combination with issue and episodic framing, supported the government’s communication strategy.

  • 32.
    Persson, Bo
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Niklasson, Lars
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Johansson, Jörgen
    Halmstad University.
    The Role of Municipalities in the Bottom-Up Formation of a Meta-Region in Sweden2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 4, p. 71-88Article in journal (Refereed)
    Abstract [en]

    The sub-national level in the Nordic countries is currently undergoing a process of major

    transformation. A central issue concerns the role of municipalities in regionalization

    processes. The purpose of the article is to analyse the positions and strategies of municipalities

    regarding interlocal cooperation and regional governance, in relation to a failed

    attempt to create a new large region in southern Sweden during 2013-2014. This attempt

    was based on a reform strategy, initiated by the government, which gave the main role in

    the creation of larger regions to municipalities and regional actors in a bottom-up process.

    How can we understand the roles of municipalities, and what are the drivers and barriers

    in a bottom-up strategy of regional formation? Our study shows that the views expressed

    by municipal representatives in Sweden regarding regional governance are anchored in

    the strong institutional position of municipalities in that country. Our conclusion is that a

    bottom-up strategy has several shortcomings as a method for making institutional reforms

    in a system of regional governance. There are obvious drivers in such a process, but there

    are also difficulties in achieving cooperation that result from high transaction costs

    (which lead to a collective-action dilemma), from an uncertain national policy, and from

    problems of legitimacy.

  • 33.
    Sandberg, Håkan
    Mälardalen University, School of Health, Care and Social Welfare.
    The four cultures of collaborative health: A first empirical study2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 69-91Article in journal (Refereed)
    Abstract [en]

    The concept of collaborative health has been found to be an adequate expression of the physical, psychological and social health resources the individual uses in collaboration, health resources which also are affected by teamwork collaboration (Sandberg, 2010). The aim of this study is to elucidate the concept of collaborative health in different working life contexts and thereby develop the meaning of this concept. In 2009 – 2010 individual interviews were undertaken with 19 experienced professionals from the welfare sector as well as trade and industry in Sweden. The main result of this study is described as “cultures of collaborative health”: The resource culture; the mission culture; the relational culture and the human value culture. These four cultures express partly overlapping ways of describing meanings of collaboration at work with consequences for collaborative health. Conflicts in the collaborative situations are discussed as a consequence of the individuals’ different, sometimes clashing, “paradigmatic positions” with regard to which culture they tend to emphasize when reflecting upon a satisfying collaboration. The main result of this study gives rise to a conceptual development of collaborative health. Further empirical studies are needed in order both to clarify the methodological issues and to bring stronger evidence in support of the usefulness and meaning of collaborative health, possibly directing the concept to a position of being well defined and generally useful, e.g. as the core concept in an instrument relating working life conditions to health. The concept of collaborative health might have the power of bringing a somewhat new perspective to research and management of working life.

  • 34.
    Vedung, Evert
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.
    Guest editor, in cooperation with Morten Balle Hansen and Pekka T. Kettunen2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 3Article, review/survey (Refereed)
  • 35.
    Vedung, Evert
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Housing and Urban Research.
    Balle Hansen, Morten
    Aalborg University, Department of Political Science.
    Kettunen, Pekka T.
    University of Jyväskylä.
    Five Political Science Contributions to Evaluation Research2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 3, p. 3-7Article, review/survey (Other academic)
  • 36.
    Wihlman, Thomas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sandmark, Hélène
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hoppe, Magnus
    Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.
    Innovation policy for welfare services in a Swedish context2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 4, p. 27-48Article in journal (Refereed)
    Abstract [en]

    The aim of the study is to explore the role of public welfare services expressed in theSwedish government’s innovation policy. The focus is on municipal and county services,such as education and health care. The study is based on an analysis of 55 documentsproduced by the government and its agencies. Although innovation policy is a major issue in Sweden, and Sweden has a large public sector, research on innovation within this fieldis very limited. The results show that the municipality and county services are visible ininnovation policy when they are a driving force for innovation in the private sector. Thisapplies especially when public procurement becomes a vehicle for business innovation.Innovation is not used as a concept representing radical change and general progress ofthe public sector as such. When municipal welfare services become visible in the studieddocuments, there are often references to a need for efficiency improvements and forprocurement leading to innovation. For the public sector, including local welfare services, no coherent innovation policy is present, but this study found elements that could becomepart of an innovation policy. Policy development is important for the future, consideringthe public sector´s role in the important and increasing service sector and in the society as a whole.

  • 37.
    Wällstedt, Niklas
    et al.
    Stockholm University, Faculty of Social Sciences, Stockholm Business School.
    Almqvist, Roland
    Stockholm University, Faculty of Social Sciences, Stockholm Business School.
    From ‘either or’ to ‘both and’: organisational management in the aftermath of NPM2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 2, p. 7-25Article in journal (Refereed)
    Abstract [en]

    This article explores the next phase of public management: the era of paradox. As new public management (NPM) policies and practices were shown to be inadequate to solve the problems of public management, they began to be complemented – rather than replaced – with new reforms and practices. These reforms and practices are often contradictory to existing ones, leaving managers in a difficult position. By extending the debate about contradictions and paradox from the policy level to the organisational level, we show how public sector managers work to resolve these contradictions in a situated manner, keeping the contradictions alive rather than resolving them permanently.

  • 38.
    Wällstedt, Niklas
    et al.
    Stockholm Business School, Stockholm University, Stockholm, Sweden.
    Almqvist, Roland
    Stockholm Business School, Stockholm University, Stockholm, Sweden.
    From ‘either or’ to ‘both and’: organisational management in the aftermath of NPM2015In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 19, no 2, p. 7-25Article in journal (Refereed)
    Abstract [en]

    This article explores the next phase of public management: the era of paradox. As new public management (NPM) policies and practices were shown to be inadequate to solve the problems of public management, they began to be complemented – rather than replaced – with new reforms and practices. These reforms and practices are often contradictory to existing ones, leaving managers in a difficult position. By extending the debate about contradictions and paradox from the policy level to the organisational level, we show how public sector managers work to resolve these contradictions in a situated manner, keeping the contradictions alive rather than resolving them permanently.

  • 39.
    Örnerheim, Mattias
    et al.
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Wihlborg, Elin
    Linköping University, Department of Management and Engineering, Political Science. Linköping University, Faculty of Arts and Sciences.
    Path Dependence on New Roads. Institutional Development of Quality Registers2014In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 18, no 2, p. 3-22Article in journal (Refereed)
    Abstract [en]

    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.

  • 40.
    Örnerheim, Mattias
    et al.
    Linköping university, Sweden.
    Wihlborg, Elin
    Linköping university, Sweden.
    Path Dependence on New Roads. Institutional Development of Quality Registers2014In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 18, no 2, p. 3-22Article in journal (Refereed)
    Abstract [en]

    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.

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