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Berlin, J., Carlström, E. & Karlsson, D. (2023). Backsourcing in the private and public sectors: A systematic review. Financial Accountability and Management, 39(3), 636-687
Open this publication in new window or tab >>Backsourcing in the private and public sectors: A systematic review
2023 (English)In: Financial Accountability and Management, ISSN 0267-4424, E-ISSN 1468-0408, Vol. 39, no 3, p. 636-687Article in journal (Refereed) Published
Abstract [en]

This article provides a systematic review of the literature on backsourcing. The aim is to synthesize existing literature in order to compare and analyze similarities and differences in backsourcing in the private and public sectors. The study asks questions about: which methods and theories have been used, why backsourcing has been implemented, and what reasons have been described for backsourcing. The study is based on an analysis of 500 articles about backsourcing and 33 articles in the final data set. The results show that backsourcing is primarily caused by: increased costs, lack of quality, and contract problems in the private sector, along with loss of control, cost saving, and changed strategy in the public sector. The study's synthesis highlights three explanations for how backsourcing is managed and interpreted in both the sectors. The article contributes specifically to summarizing current research on backsourcing, synthesizing how backsourcing has been studied, illustrating gaps in the research, as well as explaining relevant differences between private and public backsourcing. 

Keywords
backsourcing, insourcing, new public management, privatesector, public management, public sector
National Category
Public Administration Studies
Identifiers
urn:nbn:se:hv:diva-19864 (URN)10.1111/faam.12361 (DOI)000963537300001 ()2-s2.0-85152246164 (Scopus ID)
Funder
Swedish Research Council, 2016-01680, 2017–02169
Note

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution andreproduction in any medium, provided the original work is properly cited.

Available from: 2023-04-18 Created: 2023-04-18 Last updated: 2024-04-10
Sultan, M. A., Khorram-Manesh, A., Sørensen, J. L., Berlin, J. & Carlström, E. (2023). Disaster Collaborative Exercises for Healthcare Teamwork in a Saudi Context. International Journal of Disaster Risk Science, 14, 183-193
Open this publication in new window or tab >>Disaster Collaborative Exercises for Healthcare Teamwork in a Saudi Context
Show others...
2023 (English)In: International Journal of Disaster Risk Science, ISSN 2095-0055, Vol. 14, p. 183-193Article in journal (Refereed) Published
Abstract [en]

This study aimed to evaluate the development of healthcare teamwork during and after the collaboration tabletop exercises, through observation and interview methods. Integration and maturity theoretical models were employed to explain the collaborative challenges in teams that may suffer from unequally distributed power, hierarchies, and fragmentation. Using three-level collaboration tabletop exercises and the Command and control, Safety, Communication, Assessment, Treatment, Triage, Transport (CSCATTT) instrument, 100 healthcare workers were observed during each step in the implementation of the CSCATTT instrument using two simulated scenarios. The results show a lack of integration and team maturity among participants in the first scenario, leading to the delayed start of the activity, task distribution, and decision making. These shortcomings were improved in the second scenario. In-depth interviews with 20 participants in the second phase of the study revealed improved knowledge and practical skills, self-confidence, and ability in team building within trans-professional groups in the second scenario, which in concordance with the integration theory, was due to the attempts made in the first scenario. Additionally, there was an improvement in the team’s maturity, which in concordance with the maturity theory, was due to the knowledge and practical skills during scenario plays. These results indicate the importance of continuous tabletop training, and the use of CSCATTT as a collaborative instrument, to promote the development of collaboration and to test the concept of preparedness.

Keywords
Collaboration exercises, Disaster education, Emergency management, Healthcare personnel training, Saudi Arabia, Teamwork
National Category
Nursing
Identifiers
urn:nbn:se:hv:diva-19863 (URN)10.1007/s13753-023-00484-z (DOI)000967986000004 ()2-s2.0-85152468698 (Scopus ID)
Note

CC-BY 4.0

Available from: 2023-04-18 Created: 2023-04-18 Last updated: 2024-04-10
Berlin, J. (2023). Överbelastning i människobehandlande organisationer: en jämförelse mellan socialtjänst, sjukvård och polis (2.ed.). In: Johansson, S. Dellgran, P. & Höjer, S (Ed.), Människobehandlande organisationer: Villkor för ledning, styrning och professionellt välfärdsarbete (pp. 234-252). Natur och kultur
Open this publication in new window or tab >>Överbelastning i människobehandlande organisationer: en jämförelse mellan socialtjänst, sjukvård och polis
2023 (Swedish)In: Människobehandlande organisationer: Villkor för ledning, styrning och professionellt välfärdsarbete / [ed] Johansson, S. Dellgran, P. & Höjer, S, Natur och kultur, 2023, 2., p. 234-252Chapter in book (Refereed)
Abstract [sv]

Bokinfo: 

Människobehandlande organisationer är en antologi som ger en bred överblick över välfärdens kärnverksamheter, vården, skolan och omsorgen, och beskriver vad som utmärker och skiljer dessa verksamheter från privata företag och organisationer när det gäller uppdrag, organisation, ledarskap och förändringsarbete.

I den första utgåvan från 2015 var utgångspunkten de förändringar som globaliseringen, teknikutvecklingen och marknadiseringen i form av New Public Management (NPM) medfört för de människobehandlande organisationerna. I denna andra utgåva har författarna, förutom att uppdatera och förnya innehållet utifrån aktuell forskning, även tagit hänsyn till andra betydande händelser i omvärlden, som flyktingkrisen i mitten av 2010-talet och coronapandemin. Dessutom har de följt upp det ökande intresset för granskning och kontroll och den växande kritiken mot NPM. Är alternativet en mer tillitsbaserad ledning och styrning inom välfärdssektorn?

Sex nya kapitel har tillkommit. De tar upp kunskapsbildning och forskning om människobehandlande organisationer, migration och flyktingmottagande, hur man hanterar hög belastning inom grässrotsbyråkratier, standardisering och horisontell kunskapsstyrning, chefers roll och vardag inom socialtjänsten samt tillsyn inom social barnavård.

Människobehandlande organisationer vänder sig till studerande på socionom-, läkar-, vård- och lärarutbildningar liksom studerande inom ekonomi, statsvetenskap, psykologi, sociologi och offentlig förvaltning. Den är även avsedd för praktiskt verksamma i människobehandlande organisationer.

Bokens redaktörer Staffan Johansson, Peter Dellgran och Staffan Höjer är professorer i socialt arbete vid Göteborgs universitet. Övriga författare är forskare inom socialt arbete eller angränsande områden vid ett flertal svenska universitet.

Place, publisher, year, edition, pages
Natur och kultur, 2023 Edition: 2.
Keywords
polis, socialtjänst, samarbete, sjukvård, organisation
National Category
Social Work Public Administration Studies
Identifiers
urn:nbn:se:hv:diva-20818 (URN)9789127462205 (ISBN)
Available from: 2023-10-04 Created: 2023-10-04 Last updated: 2024-01-11Bibliographically approved
Sørensen, J. L., Berlin, J., Nielsen, L. R. & Carlström, E. (2022). Editorial: Emergency, crisis, and risk management: Current perspectives on the development of joint risk mitigation, preparedness and response efforts. Frontiers in Communication, 7
Open this publication in new window or tab >>Editorial: Emergency, crisis, and risk management: Current perspectives on the development of joint risk mitigation, preparedness and response efforts
2022 (English)In: Frontiers in Communication, E-ISSN 2297-900X, Vol. 7Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
Keywords
emergency, crisis, management, risk, mitigation, collaboration, COVID-19
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hv:diva-19530 (URN)10.3389/fcomm.2022.1044231 (DOI)000903893900001 ()2-s2.0-85144934590 (Scopus ID)
Note

CC-BY 4.0

Available from: 2023-01-09 Created: 2023-01-09 Last updated: 2024-04-10
Jansson, M., Carlström, E., Karlsson, D. & Berlin, J. (2021). Drivers of outsourcing and backsourcing in the public sector: From idealism to pragmatism. Financial Accountability and Management, 37(3), 262-278
Open this publication in new window or tab >>Drivers of outsourcing and backsourcing in the public sector: From idealism to pragmatism
2021 (English)In: Financial Accountability and Management, ISSN 0267-4424, E-ISSN 1468-0408, Vol. 37, no 3, p. 262-278Article in journal (Refereed) Published
Abstract [en]

Local governments are bringing previously outsourced services back in‐house. Research into explanations for sourcing decisions in the public sector is growing, however, few researchers have investigated drivers of both outsourcing and backsourcing in local public‐governance organizations. In this study we utilize transaction cost economic theory (TCE) and political ideology to investigate underlying motives of sourcing in local public governance organizations. Based on a 2018 survey of chief financial officers (CEO) in all of Sweden's 290 municipalities, this study shows that backsourcing is strongly associated with outsourcing and that outsourcing and backsourcing should not be understood as opposite phenomena, rather as interdependent phenomena in a dynamic sourcing strategy. Outsourcing and backsourcing are driven in part by different factors: Outsourcing by political ambitions and economic factors relating to TCE, while managerial and pragmatic concerns are foregrounded for backsourcing.

Keywords
backsourcing, insourcing, local government, outsourcing, public organizations
National Category
Business Administration Public Administration Studies Information Systems, Social aspects
Identifiers
urn:nbn:se:hv:diva-16092 (URN)10.1111/faam.12273 (DOI)000591264300001 ()2-s2.0-85096782462 (Scopus ID)
Funder
Swedish Research Council, 2016‐01680
Available from: 2020-12-01 Created: 2020-12-01 Last updated: 2022-03-30Bibliographically approved
Berlin, J., Szücs, S., Höjer, S. & Liljegren, A. (2021). How do street-level bureaucrats manage high workloads?: Collegial mechanisms at the organisational level - experiences from public healthcare organisations. European Management Review, 19(2), 299-312
Open this publication in new window or tab >>How do street-level bureaucrats manage high workloads?: Collegial mechanisms at the organisational level - experiences from public healthcare organisations
2021 (English)In: European Management Review, ISSN 1740-4754, E-ISSN 1740-4762, Vol. 19, no 2, p. 299-312Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to understand and explain how street-level bureaucrats manage high workloads in public healthcare organisations. Data was collected through observations, interviews and documents. The results show that high workloads are reduced through use of collegial mechanisms at the organisation level. The study shows that workloads are reduced in a two-step process, the first is a negotiation between professionals and the second in the meeting with patients. The two-step process explains the limitation problems in more detail and makes an important contribution by explaining how high workloads are reduced in public health services.

Place, publisher, year, edition, pages
WILEY PERIODICALS, INC, 2021
Keywords
collegial mechanisms; public healthcare; public management; street-level bureaucrats; workload
National Category
Social Work
Research subject
Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-17437 (URN)10.1111/emre.12480 (DOI)000691720000001 ()2-s2.0-85114050273 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-02351
Available from: 2021-10-18 Created: 2021-10-18 Last updated: 2022-09-19
Berlin, J., Jansson, M., Karlsson, D. & Carlström, E. D. (2021). Involuntary backsourcing in the public sector: From conflict to collaboration. Public Administration, 100, 674-691
Open this publication in new window or tab >>Involuntary backsourcing in the public sector: From conflict to collaboration
2021 (English)In: Public Administration, ISSN 0033-3298, E-ISSN 1467-9299, Vol. 100, p. 674-691Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to contribute to the literature on how involuntary backsourcing in public organizations is performed in practice and how it affects the relationship between principal and agent.

The study focuses on two questions: (1) Which stages characterize the process when public contracts are involuntary terminated? (2) How does involuntary backsourcing affect the relationship between principal and agent during the transfer period? The study’s case concerns public backsourcing in Sweden, in particular, how a metropolitan municipality manages involuntary backsourcing.

This study provides in-depth insights into backsourcing and its practice, as well as the degree to which the conflict dimension between the parties is affected. The study shows-paradoxically-that the relationship between principal and agent during the transition phase is characterized by dependence, mutual exchange of information, collaboration, and less conflict. The study contributes to developing the theory of backsourcing, particularly the behavior that is played out between principal and agent in the transition stage.

The findings identify the need for public organizations which make outsourcing decisions to have contingency plans for bringing operations back in-house.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2021
Keywords
Backsourcing, public organizations
National Category
Business Administration
Identifiers
urn:nbn:se:hv:diva-17214 (URN)10.1111/padm.12740 (DOI)000647128700001 ()2-s2.0-85105107349 (Scopus ID)
Funder
Swedish Research Council, 2016-01680
Note

CC-BY 4.0

Available from: 2021-11-09 Created: 2021-11-09 Last updated: 2022-11-17
Berlin, J. & Kastberg Weichselberger, G. (2021). Styrning av hälso- och sjukvård (Andra upplaganed.). Stockholm: Liber
Open this publication in new window or tab >>Styrning av hälso- och sjukvård
2021 (Swedish)Book (Other academic)
Abstract [sv]

Hälso- och sjukvården står i dag inför en rad ekonomiska, demografiska och medicinska utmaningar. Hur den ska styras och organiseras blir därför en angelägen fråga. Den här boken, som nu kommer i sin andra upplaga, beskriver några av de styrmodeller som har tillämpats inom vården under de senaste decennierna. Hit hör exempelvis beställarstyrning, kundvalsmodellen, balanserad styrning, teamarbete, prestationsfinansering och processorientering. Författarna lyfter fram fördelar och nackdelar med de olika modellerna och visar vad de tenderar att leda till på kort respektive lång sikt. 

Place, publisher, year, edition, pages
Stockholm: Liber, 2021. p. 250 Edition: Andra upplagan
Keywords
Sjukvårdsorganisation, Organisatoriska modeller, Hälso- och sjukvårdsadministration
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Administration Studies
Identifiers
urn:nbn:se:hv:diva-16318 (URN)9789147131495 (ISBN)
Available from: 2021-02-22 Created: 2021-02-22 Last updated: 2021-02-22Bibliographically approved
Liljegren, A., Berlin, J., Szücs, S. & Höjer, S. (2021). The police and ‘the balance’: managing the workload within Swedish investigation units. Journal of Professions and Organization, 8, 70-85
Open this publication in new window or tab >>The police and ‘the balance’: managing the workload within Swedish investigation units
2021 (English)In: Journal of Professions and Organization, ISSN 2051-8803, E-ISSN 2051-8811, Vol. 8, p. 70-85Article in journal (Refereed) Published
Abstract [en]

Professionals within street-level organizations are essential for the delivery of public services to citizens. However, among a number of difficult dilemmas, they have to deal with an extensive workload.The police can be seen as a good example of this; they are expected to solve most crimes, includingthe so-called mass crimes and the more spectacular cases that make it into media headlines, and often on a continually decreasing budget. A key regulating mechanism for investigation departmentsin the Swedish police is the so-called balance. The balance can be described as a basket in whichthey put the cases that there is a desire and potential to work on but not in the immediate term.The purpose of this article is to analyse the balance as a way of rationing the workload within theSwedish police. Working with the balance consists of two processes: limiting and buffering the workload. Limiting is the practice of reducing the work in a situation. Buffering is the process of puttingsome work on hold to deal with later, of which the article identifies five kinds; functional, problematic,quasi, progressive, and symbolic buffering. The exploration of ‘the balance’ contributes to our understanding of how street level organizations attempt to defend their professional jurisdictions, theirwell-being, and their ability to complete their duties.

Place, publisher, year, edition, pages
Oxford University Press, 2021
Keywords
police; workload; discretion; buffering; street-level organizations
National Category
Law and Society Social Work
Identifiers
urn:nbn:se:hv:diva-16500 (URN)10.1093/jpo/joab002 (DOI)000659449600005 ()2-s2.0-85107897436 (Scopus ID)
Available from: 2021-05-26 Created: 2021-05-26 Last updated: 2022-03-30Bibliographically approved
Hernborg, M. N., Carlström, E. D. & Berlin, J. (2020). First initiatives in prehospital care: Basing assessments on incomplete preliminary information. Journal of Nursing Education and Practice, 0(6), 47-54
Open this publication in new window or tab >>First initiatives in prehospital care: Basing assessments on incomplete preliminary information
2020 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 0, no 6, p. 47-54Article in journal (Other academic) Published
Abstract [en]

Rationale and aim: Ambulance staff, i.e. registered nurses and assistant nurses, receive assignments from emergency dispatch centres including information on level of priority, address and patient’s care requirements. One problem is that the preliminary information the dispatcher gives to the ambulance staff may be incomplete. The purpose of this study was to determine how ambulance staff base their assessments on incomplete preliminary information when assessing care requirements.

Methods: Fifteen ambulance staff working at seven ambulance stations were interviewed for this study. Interviews were transcribed and analysed using content analysis.

Results: Incomplete preliminary information means that ambulance staff may be misdirected. This means that if the preliminary information from the dispatcher is incomplete, the ambulance staff need to reassess, and this is perceived to be difficult. Ambulance staff tend to stick to the first initiative that is taken after they receive an alert from the dispatcher.

Conclusions: When ambulance staff receive incomplete preliminary information, they need to consider the possibility of conducting a reassessment. Based on the results, there is a need for new procedures to improve preparedness to conduct a reassessment after receiving incomplete preliminary information.

Keywords
Ambulance, Dispatch centre, Assessment, Incomplete preliminary Information, First initiative, Prehospital care
National Category
Social Work Nursing
Research subject
SOCIAL SCIENCE, Social work
Identifiers
urn:nbn:se:hv:diva-15697 (URN)10.5430/jnep.v10n6p47 (DOI)
Available from: 2020-08-17 Created: 2020-08-17 Last updated: 2024-04-25Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6358-3528

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