The Norwegian Hospital Reform- Balancing Political Control and Enterprise Autonomy.
Forfatter
Lægreid, Per, Ståle Opedal & Inger Marie Stigen
Årstall
2005
Utgiver
Journal of Health Politics, Policy and Law, Vol. 30, No. 6, December 2005.
Publikasjonstype:
Tidsskriftsartikkel
Fulltekst:
http://jhppl.dukejournals.org/cgi/reprint/30/6/1027
Omtale:
http://jhppl.dukejournals.org/cgi/content/abstract/30/6/1027
Antall sider:
38
Publiseringsspråk:
Engelsk
NSD-referanse:
2524
Disse opplysningene er sist endret:
2007-08-20 12:29:52.827
- Helseforetak
- Primærdata
- Kvantitativ
- Kvalitativ
- Spørreskjema
- Dokumentstudie
- Norge
- 1.1 Organisering generelt
- 1.2 Endring i tilknytningsform
- 1.4 Finansiering
- 1.5 Lov- og regelverk
- 1.7 Personaladministrative/demografiske verkemiddel
- Forskning
- Iverksetting/implementeringsstudie
- Effektstudie/implikasjoner/resultater
- Kostnadseffektivitet
- Samfunnseffektivitet
- Strukturelle og styringsmessige effektar
- Kvalitet og sikkerhetsmessige effektar
- Verdimessige effektar
- Driftskostnadsmessige effektar
- Utøvande og lovgivande myndigheiter K
- Generelle sykehustenester I
- Spesialiserte sykehustenester I
- Staten generelt
Sammendrag
This essay focuses on the balance between governmental control and enterprise autonomy by examining the Norwegian hospital reform. We describe the enterprise model and give a description of the policy instruments that the government, as owner, has for exercising power and control vis-à-vis the health enterprises. How the trade-off between autonomy and control is experienced and practiced is analyzed from an instrumental, an institutional, and an environmental perspective. The database comprises a survey collected from health enterprise executives and illustrative cases. The trade-off can be characterized as ambiguous and unstable and we ask whether it is possible to achieve a strategy to more appropriately balance the goals of control and autonomy.