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Explaining Quality Management in the Danish and Swedish Public Health Sectors: Unintended Learning and Deliberate Co-Optation
Linköping University, Sweden.ORCID iD: 0000-0001-6803-7414
Roskilde University, Denmark.
2016 (English)In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 39, no 12, p. 963-975Article in journal (Refereed) Published
Abstract [en]

This article examines the development of diverse quality systems in the otherwise quite similar Danish and Swedish public health sectors. After decades of numerous piecemeal medical and managerial quality development programs in both countries, a nationwide mandatory accreditation system was introduced in the Danish health services in 2009. Nationwide quality indicator projects are also found in Sweden, but there has been political attempt to introduce a compulsory system. This article seeks to explain this difference. It argues, first, that resistance from the medical professions blocked the introduction of compulsory, nationwide quality systems in both countries for decades. Second, the implementation of the Danish accreditation system was triggered by a combination of unintended policy learning produced by local reforms in two counties and of the Ministry of Health’s carefully orchestrated policy process that served to co-opt critical voices in the medical profession.

Place, publisher, year, edition, pages
Abingdon-on-Thames: Routledge, 2016. Vol. 39, no 12, p. 963-975
Keywords [en]
Historical institutionalism, path dependency, policy learning, quality managment systems
National Category
Public Administration Studies
Research subject
Social Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-81640DOI: 10.1080/01900692.2015.1064959Scopus ID: 2-s2.0-84958530409OAI: oai:DiVA.org:lnu-81640DiVA, id: diva2:1302096
Available from: 2019-04-03 Created: 2019-04-03 Last updated: 2019-04-04Bibliographically approved

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Örnerheim, Mattias

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  • apa
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  • de-DE
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  • nn-NB
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  • Other locale
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Output format
  • html
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  • asciidoc
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