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- Berlin, Johan, 1975, et al.
(författare)
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How do street-level bureaucrats manage high workloads? Collegial mechanisms at the organisational level—experiences from public healthcare organisations
- 2022
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Ingår i: European Management Review. - : Wiley. - 1740-4754 .- 1740-4762. ; 19:2, s. 299-312
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to understand and explain how street-level bureaucrats manage high workloads in public healthcare organisations. Data was collected through observations, interviews and documents. The results show that high workloads are reduced through use of collegial mechanisms at the organisation level. The study shows that workloads are reduced in a two-step process, the first is a negotiation between professionals and the second in the meeting with patients. The two-step process explains the limitation problems in more detail and makes an important contribution by explaining how high workloads are reduced in public health services.
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| 3. |
- Billquist, Leila, 1949, et al.
(författare)
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Care - A Challenge to Healthy organization?
- 2011
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Ingår i: IV International Community, Work and Family Conference: Actors, Structures and Theories, 19-21 May, University of Tampere.
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Konferensbidrag (refereegranskat)
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| 6. |
- Björk, Lisa, 1981, et al.
(författare)
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Measuring capacity to perform across local government services – managers’ perceptions
- 2014
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Ingår i: International Journal of Public Sector Management. - 0951-3558. ; 27:1, s. 26-38
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – This study aims at developing a measure that can be used to evaluate organizational capacity to perform across local government jurisdictions, using operational managers' own assessments. Design/methodology/approach – The “management matters” literature that links organizational capacity to service performance is far from reaching any consensus on how to operationalize organizational capacity. In this study, over 400 operational managers were asked, at two different time points and in thirty different local government departments, about what opportunities they have to fulfill their responsibilities and about their perceptions of service performance. The data are factor analyzed, and the proportion of higher level variance of the resulting capacity measure is explored. Findings – Organizational capacity to perform represents a consistent measure that covers essential aspects of the managerial assignment and is empirically distinct, yet positively related to the managers' perceptions of service performance. Results further show that up to 12 percent of the variance in organizational capacity to perform can be attributed to the organization in which managers work. Practical implications – A service-neutral measure of organizational capacity to perform should be useful to strategic managers in organizations as guidance for resource allocation, and for the design of solid organizational structures and support systems for operational managers. Originality/value – Recent public management research indicates that rationalistic management models are often inadequately grounded in the day-to-day practices of operative managerial work. The construct of organizational capacity to perform presented in this study could be a valuable instrument that can bridge this strategic-operational disconnect and provide an insider perspective of the organizational prerequisites that underpin any public service achievement.
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| 7. |
- Bäck-Wiklund, Margareta, 1944, et al.
(författare)
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Are Health Care Organizations Healthy? Quality of Work and Private Life in Northern and Southern Europe
- 2012
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Ingår i: Work and Family Researchers Network Inaugural Conference, June 14-16, 2012, New York City.
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Konferensbidrag (refereegranskat)abstract
- In this paper we study healthy organization and gender through exploring the dual agenda from the perspective of the human service organization. Looking at employee survey data from public hospitals in eight countries across the Europe (Bulgaria, Finland, Germany, Hungary, Netherlands, Portugal, Sweden and the UK), we analyze the empirical support for concept of the healthy organization. Quantitative and qualitative methods have been used in a mixed methods approach, collected across four types of service sector organizations in each participating country (public hospitals, ITC, retail, and bank/insurance), within the framework of the EU project Quality of Life in a Changing Europe (QUALITY). Two case studies of hospitals are selected: one gender equal in average self-reported health status (Sweden) and one where women share a much lower average (Portugal). We explore the dual agenda from two perspectives – the work-household duality (engagement/work-life balance) and workforce-organization duality (social support/life satisfaction). Three hypotheses are advanced: (1) that human service organizations, and the hospital employee in particular, harbour a latent healthy organizations perception, indicated by an individual consistency of social support, life satisfaction engagement, work-life balance; (2) that due to gendered differences, women in medicine share a stronger such healthy organizations perception, and; (3) gender matters for the healthy organizations perception because of work organizational policy, career paths and home related resources. The findings in large verify these hypotheses. Among employees at the eight hospitals across Europe, there is a significant latent dimension of perceiving the healthy organization measure, based on social support, engagement, satisfaction with life and work-life balance, and this construct is significantly higher among women, mainly because of formal work time flex policies, formal supervisory position combined with low education level, and domestic resources that includes the availability of child care and a stronger social network. These findings are further verified/ explored by in depth analysis of our two case studies.
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| 8. |
- Bäck-Wiklund, Margareta, 1944, et al.
(författare)
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Os hospitais são organizações saudáveis? Qualidade de vida no trabalho hospitalar no norte e no sul da Europa : Are healthcare organizations healthy? Quality of life in healthcare work in Northern and Southern Europe
- 2018
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Ingår i: Sociologia, Problemas e Práticas. - 0873-6529. ; 86, s. 45-67
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Forskningsöversikt (refereegranskat)abstract
- From a gender perspective, this article analyses the concept of "healthy organization" through the study of the "dual agenda" of healthcare organizations. Based in the EU funded project "Quality of Life in a Changing Europe", which priviledged a multi-method approach, we analyse data from an extensive survey applied in eight European countries (Germany, Bulgaria, Finland, The Netherlands, Hungary, Portugal, United Kingdom and Sweden) and present two case studies undergone at university public hospitals in Sweden and in Portugal. Results show that the perceptions of what is a healthy organization are developed around the notions of social support, life satisfaction, work engagement and work-life reconciliation. Gender variations are a common feature in each of these dimensions. Organizational policies, professional trajectories and family resources are directly related to these variations.
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| 10. |
- Johansson, Staffan, 1953, et al.
(författare)
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Power and democratic accountability in strategic coordination bodies - An investigation from Swedish eldercare
- 2017
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Ingår i: Nordic Political Science Association (NOPSA) XVIII Congress. University of Southern Denmark, Odense: 8-11 August 2017.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The establishment of strategic coordination bodies with members from differernt agencies, belonging to different principals, and are governed by various laws and regulations, can be understood as an answer to the demand for improved coordinated care around citizens with complex needs, e.g frail elderly people. This demand is also an example of the development ‘from government to governance’, but raises important fundamental questions of democratic control and accountability in the modern welfare state. These issues are addressed in current literature on network governance, but are not investigated very much empirically. The overall aim of the paper is to analyze collaboration bodies as a phenomenon in the modern welfare state. The specific aim is to investigate how the members of these governance networks perceive power and accountability, and are held accountable by their principals. The paper is conceptually built on theories of network governance and accountability. The empirical investigation is based on a survey with 981 respondents in 73 different coordination bodies in Sweden. The analysis shows that there seems to be an imbalance between perceived power and perceived demands from different stakeholders to account for the services. It opens up for a discussion of the meaning of the post-liberal state, and new perspectives on accountability and power in the modern welfare state.
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