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The State Administration Database

The Norwegian Hospital Reform- Balancing Political Control and Enterprise Autonomy.

Please note: This page may contain data in Norwegian that is not translated to English.

Author
Lægreid, Per, Ståle Opedal & Inger Marie Stigen

Year
2005

Publisher
Journal of Health Politics, Policy and Law, Vol. 30, No. 6, December 2005.

Type of publication:
Tidsskriftsartikkel

Link to publication:
http://jhppl.dukejournals.org/cgi/reprint/30/6/1027

Link to review:
http://jhppl.dukejournals.org/cgi/content/abstract/30/6/1027

Number of pages:
38

Language of publication:
Engelsk

NSD-reference:
2524

This page was last updated:
2007-08-20 12:29:52.827

Affiliations related to this publication
  • Helseforetak
Publikasjonens datagrunnlag
  • Primærdata
  • Kvantitativ
  • Kvalitativ
  • Spørreskjema
  • Dokumentstudie
Land som er gjenstand for studien
  • Norge
Verkemiddel i den konstituerande styringa
  • 1.1 Organisering generelt
  • 1.2 Endring i tilknytningsform
  • 1.4 Finansiering
  • 1.5 Lov- og regelverk
  • 1.7 Personaladministrative/demografiske verkemiddel
Studieoppdrag
  • Forskning
Studietype
  • Iverksetting/implementeringsstudie
  • Effektstudie/implikasjoner/resultater
Type effekt
  • Kostnadseffektivitet
  • Samfunnseffektivitet
  • Strukturelle og styringsmessige effektar
  • Kvalitet og sikkerhetsmessige effektar
  • Verdimessige effektar
  • Driftskostnadsmessige effektar
Sektor (cofog)
  • Utøvande og lovgivande myndigheiter K
  • Generelle sykehustenester I
  • Spesialiserte sykehustenester I
  • Staten generelt

Summary
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.