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Policymaking through healthcare registries in Sweden
Linnaeus University, Faculty of Social Sciences, Institute of Police Education. Linköping University, Sweden.ORCID iD: 0000-0001-6803-7414
2018 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 33, no 2, p. 356-365Article in journal (Refereed) Published
Abstract [en]

Healthcare registries, otherwise known in Sweden as national quality registries (NQRs), have progressed from being a patient-focused system supporting medical results to become the basis of a health policy steering instrument called regional comparisons (RCs). This article seeks to explain RCs as an unintended consequence of the NQR development, by utilizing the concepts of policy entrepreneurs and streams of impact: the problem stream (problem perceived), the policy stream (what is valid), and the political stream (governmental objectives). The empirical contribution lies in insights on how the RCs have developed as an unintended consequence of entrepreneurial deliberate action in the process of creating NQRs. These findings are based on documents, interviews, and previous research in the social sciences. The article also argues for a critical understanding of public knowledge management (PKM) related to experiences in the development of NQRs regarding how to use knowledge in healthcare government. This article highlights how knowledge generated in quality systems based on registries could imply a stronger role for authorities in exerting control over the medical profession. It also discusses the potential use of research evidence on NQRs as a base for more efficient policymaking.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2018. Vol. 33, no 2, p. 356-365
Keywords [en]
quality registries, stream coupling, policy entrepreneurs, public knowledge management
National Category
Political Science
Research subject
Social Sciences, Political Science
Identifiers
URN: urn:nbn:se:lnu:diva-81637DOI: 10.1093/heapro/daw064ISI: 000429490000018PubMedID: 27594141Scopus ID: 2-s2.0-85043682739OAI: oai:DiVA.org:lnu-81637DiVA, id: diva2:1302098
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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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf