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Trender som utmanar traditioner: En hälso- och sjukvård i metamorfos
University West, Department of Social and Behavioural Studies. (LINA)ORCID iD: 0000-0002-6358-3528
Sahlgrenska akademin, Göteborgs universitet.
2012 (Swedish)In: Offentlig förvaltning : Scandinavian journal of public administration, ISSN 2000-8058, Vol. 16, no 2, p. 3-23Article in journal (Refereed) Published
Abstract [sv]

I artikeln ges en översikt över traditioner inom hälso- och sjukvården som utmanas av trender. Betydelsen av starka professioner, otydliga och motstridiga mål och otillräckliga resurser har gjort att verksamheten måste hantera motsägelsefulla krav. Ett sätt att komma tillrätta med detta har skett genom införande av valfrihetssystem, arbete över organisatoriska och professionella gränser och ökad flexibilitet. Trenderna har till stor del influerats av styrmodeller inspirerade av New Public Management. Uppblandningen mellan nya och traditionella styrmodeller har gjort att det utvecklats hybrider. Hybriderna har bidragit till en organisatorisk spänning, där gammalt och nytt blandas i en motsägelsefull, men förnyande process.

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.

Place, publisher, year, edition, pages
2012. Vol. 16, no 2, p. 3-23
Keywords [en]
Organisation, Health care, Leadership, Teamwork, New Public Management
Keywords [sv]
Organisation, hälso- och sjukvård, ledarskap, teamarbete, New Public Management.
National Category
Public Administration Studies Business Administration Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
SOCIAL SCIENCE, Public administration; SOCIAL SCIENCE, Business administration
Identifiers
URN: urn:nbn:se:hv:diva-5026OAI: oai:DiVA.org:hv-5026DiVA, id: diva2:583297
Available from: 2013-01-07 Created: 2013-01-07 Last updated: 2015-03-10Bibliographically approved

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Berlin, Johan

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